NPIMap

Organization Active NPI

Children's Care, PLLC

Doing business as Children's Clinic Annex

  • Pediatrics Physician
  • Irvine, KY
National Provider Identifier
1063500197
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S CARE, PLLC
Doing business as
Children's Clinic Annex
Practice address
62 Mercy Court
Irvine, KY 40336-1142
Phone
(606) 723-5142
Fax
(606) 723-3798
NPI assigned
Oct 11, 2006
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Vivian Ong, MDNPI 1740286376
Title
Owner
Phone
(606) 723-5142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

62 Mercy Court
Irvine, KY 40336-1142

Mailing address

223 River Dr
PO Box 908
Irvine, KY 40336-1142
Phone (606) 723-5142

Other identifiers 1

IdentifierTypeStateIssuer
35001833MedicaidKY

Other names 1

  • Children's Clinic Annex Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

62 Mercy Ct
Irvine, KY 40336
Phone (606) 723-5142

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1063500197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 RIVER DR",
            "address_2": "PO BOX 908",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-723-5142",
            "fax_number": "606-723-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MERCY COURT",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-723-5142",
            "fax_number": "606-723-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-723-5142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001833",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Clinic Annex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.