West Side Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WEST SIDE PEDIATRICS

Practice address

7074 Harrison Ave
Cincinnati, OH 45247

Phone

(513) 922-8200

Fax

(513) 347-0082

NPI assigned

Jun 20, 2017

Last updated

Jun 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janie Tebben

Title

Practice Manager

Phone

(513) 347-5083

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

John a Williams MD Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• West Side Pediatrics Inc

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1245326289
  NPD tax ID
• West Side Pediatrics Inc

  • Pediatrics Physician
  • Lawrenceburg, IN
  • NPI 1255427258
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2080/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Dylan Graham, MSN, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1508632449
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1205356466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 ANDERSON FERRY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45238",
            "telephone_number": "513-922-8200",
            "fax_number": "513-347-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7074 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-922-8200",
            "fax_number": "513-347-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "TEBBEN",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-347-5083"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0954794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West End Health Center Inc
• West Point Optical Group (Pearle Vision)
• West Point Optical Group
• West Side Adult and Pediatric Care LLC
• West Side Chiropractic Center
• West Side Pediatrics Inc
• Kiara Ta'Nyla West-Higgins
• Amaya West
• Augustus Donald West
• Caroline West, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.