Organization Active NPI

Oxford Pediatrics & Adolescents Inc

  • Pediatrics Physician
  • Oxford, OH
National Provider Identifier
1356437867
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OXFORD PEDIATRICS & ADOLESCENTS INC
Practice address
5141 Morning Sun Rd
Oxford, OH 45056
Phone
(513) 523-2156
Fax
(513) 523-2503
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Mr. James B Davis, MD
Title
Owner
Phone
(513) 523-2156

Specialties & licenses 1

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

Addresses

Primary practice location

5141 Morning Sun Rd
Oxford, OH 45056

Mailing address

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2156

Other identifiers 3

IdentifierTypeStateIssuer
000000009895OtherINANTHEM BC BS
100004750AMedicaidIN
000000009895OtherOHANTHEM BC BS

National Provider Directory

National Provider Directory
Tax ID family
Oxford Pediatrics Adolescents Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1356437867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 MORNING SUN RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "45056",
            "telephone_number": "513-523-2156",
            "fax_number": "513-523-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 MORNING SUN RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "45056",
            "telephone_number": "513-523-2156",
            "fax_number": "513-523-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD PEDIATRICS & ADOLESCENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-523-2156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000009895",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004750A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000009895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.