Individual provider Active NPI

Cynthia Ann Delaat, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1396789913
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35047659D Issued in OH
Practice address
5 E Liberty St
Cincinnati, OH 45202-8202
Phone
(513) 381-2247
Fax
(513) 381-2256
NPI assigned
Jun 15, 2006
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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 35047659D OH Primary

Addresses

Primary practice location

5 E Liberty St
Cincinnati, OH 45202-8202

Mailing address

5 E Liberty St
Cincinnati, OH 45202-8202
Phone (513) 381-2247

Other identifiers 1

IdentifierTypeStateIssuer
0546369MedicaidOH

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35047659DOHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1396789913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E LIBERTY ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028202",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E LIBERTY ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028202",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAAT",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35047659D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.