Queen City Developmental Pediatrics LTD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

QUEEN CITY DEVELOPMENTAL PEDIATRICS LTD

Practice address

2753 Observatory Ave
Cincinnati, OH 45208-2231

Phone

(513) 275-6630

Fax

(513) 275-6704

NPI assigned

Aug 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Zimmer, MD

Title

Owner

Phone

(513) 275-6630

Specialties & licenses 1

Addresses

Other names 1

• TRI STATE DEVELOPMENTAL PEDIATRICS Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leanne Meghan Buschmeier, CPNP-PC

  • Pediatric Nurse Practitioner
  • Cincinnati, OH
  • NPI 1932795788
  NPD
• Aimee J Rusk, M.D.

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1891846564
  NPD
• Sarah Morrison, MD

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1962410985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1023738176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 OBSERVATORY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082231",
            "telephone_number": "513-275-6630",
            "fax_number": "513-275-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 OBSERVATORY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082231",
            "telephone_number": "513-275-6630",
            "fax_number": "513-275-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY DEVELOPMENTAL PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-275-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI STATE DEVELOPMENTAL PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Queen City Anesthesiologists Inc
• Queen City Compliance Group
• Queen City Counseling Services
• Queen City Dental LLC
• Queen City Dermatology
• Queen City Ear Nose and Throat Assoc Inc
• Queen City Ear, Nose & Throat Associates
• Queen City General & Vascular Surgeons Group LTD
• Queen City Gymnastics
• Queen City Health LLC

• Developmental - Behavioral Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Developmental - Behavioral Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.