Active NPI
Pediatrics of Hamilton Inc
- Pediatrics Physician
- Fairfield, OH
National Provider Identifier
1073665121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35051614B
- Legal business name
- PEDIATRICS OF HAMILTON INC
- Practice address
- 1251 Niles Road
Suite 8
Fairfield, OH 45014 - Phone
- (513) 829-0800
- Fax
- (513) 829-8428
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Scott Blankenburg, MD
- Title
- Physician
- Phone
- (513) 829-0800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35051614B | OH | Primary |
Addresses
Primary practice location
1251 Niles Road
Suite 8
Fairfield, OH 45014
Mailing address
1251 Niles Road
Suite 8
Fairfield, OH 45014
Phone (513) 829-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05880636 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Fairfield, OH
- NPI 1093787343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073665121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 NILES ROAD",
"address_2": "SUITE 8",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-829-0800",
"fax_number": "513-829-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILES ROAD",
"address_2": "SUITE 8",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-829-0800",
"fax_number": "513-829-8428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS OF HAMILTON INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLANKENBURG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "513-829-0800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35051614B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05880636",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
- Richard Payne, LPCC
- Terry Ray Payne, LISW-S, LCSW
- Peak Performance Orthopaedics and Sports Medicine, Inc
- Rachel Pearson, PT
- Pediatric Associates of Fairfield, Inc
- Peniel Healthcare Dba Peniel Homecare (peniel homecare)
- Linda M Penrod, MS, LPCC-S
- Perioperative Medical Consutants Inc
- Shameka Perry
- Deno Michael Persiani, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.