Active NPI
Karen Ann Kindervater, M.D.
- Child & Adolescent Psychiatry Physician
- Perrysburg, OH
National Provider Identifier
1306915806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 35-05-2616
- Practice address
- 702 Commerce Dr Ste 150
Perrysburg, OH 43551-5252 - Phone
- (419) 874-0274
- Fax
- (419) 874-9960
- NPI assigned
- Nov 7, 2006
- Last updated
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35-05-2616 | OH | Primary |
Addresses
Primary practice location
702 Commerce Dr Ste 150
Perrysburg, OH 43551-5252
Mailing address
702 Commerce Dr Ste 150
Perrysburg, OH 43551-5252
Phone (419) 874-0274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618513 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Perrysburg, OH
- NPI 1801959945
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1306915806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 COMMERCE DR STE 150",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515252",
"telephone_number": "419-874-0274",
"fax_number": "419-874-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 COMMERCE DR STE 150",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515252",
"telephone_number": "419-874-0274",
"fax_number": "419-874-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDERVATER",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35-05-2616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0618513",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.