Individual provider Active NPI

Yvette Casey-Hunter, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1336109446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35046751 Issued in OH
Practice address
5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone
(513) 242-1033
Fax
(513) 242-1539
NPI assigned
Mar 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35046751 OH Primary

Addresses

Primary practice location

5275 Winneste Ave
Cincinnati, OH 45232-1130

Mailing address

5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone (513) 242-1033

Other identifiers 1

IdentifierTypeStateIssuer
0477032MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000734 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7113078759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35046751OHMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: yvette.casey-hunter.1@23272.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Winton Hills Academy Elementary SchoolCincinnati, OH, CCN 361936 Federally qualified health center Corporate Officer
W-2 Managing Employee
Nov 4, 2007
Nov 4, 2007
St. Bernard ElementarySaint Bernard, OH, CCN 361935 Federally qualified health center Corporate Officer
W-2 Managing Employee
Nov 4, 2007
Nov 4, 2007
St. Bernard Elmwood Place High SchoolSaint Bernard, OH, CCN 361934 Federally qualified health center Corporate Officer
W-2 Managing Employee
Nov 4, 2007
Nov 4, 2007
Woodward Career Technical High SchoolCincinnati, OH, CCN 361949 Federally qualified health center Corporate Officer
W-2 Managing Employee
Nov 4, 2007
Nov 4, 2007
Bond Hill AcademyCincinnati, OH, CCN 361951 Federally qualified health center Corporate Officer
W-2 Managing Employee
Nov 4, 2007
Nov 4, 2007

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336109446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY-HUNTER",
        "first_name": "YVETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35046751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.