Active NPI
Charles Kessinger, CCP
- Cardiovascular Specialist/Technologist
- Fairfield, OH
National Provider Identifier
1407992936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Specialist/Technologist
- License
- 900093
- Practice address
- 3000 Mack Rd
Fairfield, OH 45014-5335 - Phone
- (513) 603-8600
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | 900093 | MS | Primary |
Addresses
Primary practice location
3000 Mack Rd
Fairfield, OH 45014-5335
Mailing address
3024 Triplecrown Dr
North Bend, OH 45052-9607
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900093 | MS | MD | Cardiovascular Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407992936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 TRIPLECROWN DR",
"city": "NORTH BEND",
"state": "OH",
"postal_code": "450529607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-603-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSINGER",
"first_name": "CHARLES",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular",
"state": "MS",
"license": "900093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.