NPIMap

Organization Active NPI

Northeast Cincinnati Pediatric Associates, Inc.

  • Pediatrics Physician
  • Mason, OH
National Provider Identifier
1245358845
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTHEAST CINCINNATI PEDIATRIC ASSOCIATES, INC.
Practice address
8185 Corporate Way
Mason, OH 45040-6809
Phone
(513) 398-7171
NPI assigned
Mar 26, 2007
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Denita Kaherl
Title
Billing Department Manager
Phone
(513) 530-2090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary
Pediatric Adolescent Medicine Physician 2080A0000X NU

Addresses

Primary practice location

8185 Corporate Way
Mason, OH 45040-6809

Mailing address

8185 Corporate Way
Mason, OH 45040-6809
Phone (513) 398-7171

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0910014Northeast Cincinnati Pediatric8185 Corporate Way, Mason, OH 45040Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

8185 Corporate Way
Mason, OH 45040
Phone (513) 398-7171

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1245358845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 CORPORATE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406809",
            "telephone_number": "513-398-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 CORPORATE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406809",
            "telephone_number": "513-398-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CINCINNATI PEDIATRIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KAHERL",
        "authorized_official_first_name": "DENITA",
        "authorized_official_title_or_position": "BILLING DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "513-530-2090"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.