NPIMap

Organization Active NPI

Clermont County Community Services Inc.

  • Pediatrics Physician
  • Batavia, OH
National Provider Identifier
1306928072
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CLERMONT COUNTY COMMUNITY SERVICES INC.
Practice address
3003 Hospital Dr
Batavia, OH 45103-2689
Phone
(513) 732-2277
Fax
(513) 735-8839
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Sheema Farooqui, M.D.NPI 1003872698
Title
Medical Director
Phone
(513) 732-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3003 Hospital Dr
Batavia, OH 45103-2689

Mailing address

3003 Hospital Dr
Batavia, OH 45103-2689
Phone (513) 732-2277

Other identifiers 1

IdentifierTypeStateIssuer
0850002MedicaidOH

National Provider Directory

National Provider Directory

Locations

3003 Hospital Dr
Batavia, OH 45103
Phone (513) 732-2277

Practitioners & affiliated clinicians

Practitioners 3

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1306928072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032689",
            "telephone_number": "513-732-2277",
            "fax_number": "513-735-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032689",
            "telephone_number": "513-732-2277",
            "fax_number": "513-735-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT COUNTY COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "FAROOQUI",
        "authorized_official_first_name": "SHEEMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-732-2277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.