Organization Active NPI

Childrens Emergency Services Inc

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Dayton, OH
National Provider Identifier
1306904503
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
525169 Issued in OH
Legal business name
CHILDRENS EMERGENCY SERVICES INC
Practice address
1 Childrens PLZ
Childrens Emergency Service Inc
Dayton, OH 45404
Phone
(856) 686-4316
Fax
(865) 291-3254
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
David Istvan, MD
Title
Owner
Phone
(856) 686-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PP0204X 525169 OH Primary

Addresses

Primary practice location

1 Childrens PLZ
Childrens Emergency Service Inc
Dayton, OH 45404

Mailing address

307 S. Evergreen Avenue
Childrens Emergency Services Inc
Woodbury, NJ 08096-2936
Phone (856) 686-4316

Other identifiers 2

IdentifierTypeStateIssuer
0785600MedicaidOH
310945237906OtherOHGROUP BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1306904503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S. EVERGREEN AVENUE",
            "address_2": "CHILDRENS EMERGENCY SERVICES INC",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962936",
            "telephone_number": "856-686-4316",
            "fax_number": "865-291-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "address_2": "CHILDRENS EMERGENCY SERVICE INC",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45404",
            "telephone_number": "856-686-4316",
            "fax_number": "865-291-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS EMERGENCY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "ISTVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-686-4316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "525169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785600",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "310945237906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.