Active NPI
Cody Kirschner
- Physician Assistant
- Cincinnati, OH
National Provider Identifier
1407304637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2452
- Practice address
- 4406 Montgomery Rd
Cincinnati, OH 45212-3116 - Phone
- (513) 376-7116
- NPI assigned
- Sep 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004796RX | OH | |
| Physician Assistant | 363A00000X | PA2452 | KY | Primary |
Addresses
Primary practice location
4406 Montgomery Rd
Cincinnati, OH 45212-3116
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2452 | KY | MD | Physician Assistant |
| 50.004796RX | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1407304637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123116",
"telephone_number": "513-376-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCHNER",
"first_name": "CODY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-16",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004796RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2452",
"primary": true
}
],
"identifiers": [],
"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 Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.