NPIMap

Organization Active NPI

Montgomery Pediatrics Incorporated

  • Preferred Provider Organization
  • Cincinnati, OH
National Provider Identifier
1194917062
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
35041085L Issued in OH
Legal business name
MONTGOMERY PEDIATRICS INCORPORATED
Practice address
10700 Montgomery Rd
Suite 100
Cincinnati, OH 45242-3255
Phone
(513) 984-5552
Fax
(513) 984-5554
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Jenny Vaughn
Title
Office Manager
Phone
(513) 984-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 35041085L OH Primary

Addresses

Primary practice location

10700 Montgomery Rd
Suite 100
Cincinnati, OH 45242-3255

Mailing address

10700 Montgomery Rd
Suite 100
Cincinnati, OH 45242-3255
Phone (513) 984-5552

National Provider Directory

National Provider Directory

Locations

3430 Burnet Ave
Ofc
Cincinnati, OH 45229
Phone (513) 636-7722

9157 Montgomery Rd
Ste 100
Cincinnati, OH 45242

10700 Montgomery Rd
Ste 100
Montgomery, OH 45242
Phone (513) 984-5552

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8872/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1194917062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423255",
            "telephone_number": "513-984-5552",
            "fax_number": "513-984-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423255",
            "telephone_number": "513-984-5552",
            "fax_number": "513-984-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY PEDIATRICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-984-5552"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "35041085L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.