NPIMap

Organization Active NPI

Springboro Pediatrics, Inc.

  • Pediatrics Physician
  • Springboro, OH
National Provider Identifier
1184724320
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SPRINGBORO PEDIATRICS, INC.
Practice address
8 Sycamore Creek Dr
Springboro, OH 45066-2300
Phone
(937) 748-5437
Fax
(937) 748-5434
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Brian Esselstein, M.D.NPI 1114004454
Title
Physician/President
Phone
(937) 748-5437

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8 Sycamore Creek Dr
Springboro, OH 45066-2300

Mailing address

8 Sycamore Creek Dr
Springboro, OH 45066-2300
Phone (937) 748-5437

Other identifiers 1

IdentifierTypeStateIssuer
0744378MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Springboro Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1184724320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE CREEK DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662300",
            "telephone_number": "937-748-5437",
            "fax_number": "937-748-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SYCAMORE CREEK DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662300",
            "telephone_number": "937-748-5437",
            "fax_number": "937-748-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBORO PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "ESSELSTEIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "937-748-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0744378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.