Active NPI
Donald Lee Nofziger, MD
- Pediatrics Physician
- Winchester, OH
National Provider Identifier
1043286289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35028385
- Practice address
- 19262 Sr 136
Winchester, OH 45697 - Phone
- (937) 695-1283
- Fax
- (937) 695-1290
- NPI assigned
- Feb 27, 2006
- Last updated
- Apr 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35028385 | OH | Primary |
Addresses
Primary practice location
19262 Sr 136
Winchester, OH 45697
Mailing address
8038 Witts Mill LN
Cincinnati, OH 45255-5730
Phone (513) 474-0637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076368 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35028385 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1043286289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8038 WITTS MILL LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452555730",
"telephone_number": "513-474-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19262 SR 136",
"city": "WINCHESTER",
"state": "OH",
"postal_code": "45697",
"telephone_number": "937-695-1283",
"fax_number": "937-695-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOFZIGER",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35028385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076368",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.