Shoba S Krishnan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-063026 Issued in OH

Practice address

905 Main St
Milford, OH 45150-5049

Phone

(513) 248-1210

Fax

(513) 248-3065

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1200/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1104805795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505049",
            "telephone_number": "513-248-1210",
            "fax_number": "513-248-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505049",
            "telephone_number": "513-248-1210",
            "fax_number": "513-248-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "SHOBA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-063026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0889589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M. Kordis, M.D.
• William John Kossenjans, P.A.-C
• William P Kotheimer, DC
• Nora Kovach, BCBA
• Jerome Edward Kovacik, CDCA
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Mary Kulakoski-Hoerr, LISW-S
• Auditi Kundu
• Stacy Ann Kushman, B.S. PHARMACY

• Pediatrics Physician in Milford, OH
• Providers in Milford, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.