Individual provider Active NPI

Stephen Warrick, M.D.

  • Pediatrics Physician
  • Crestview Hills, KY
National Provider Identifier
1508030685
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35094557 Issued in OH
Practice address
2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3915
Phone
(859) 341-5400
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 35094557 OH Primary

Addresses

Primary practice location

2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3915

Mailing address

2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3915
Phone (859) 341-5400

Other practice location 1

3430 Burnet Ave., MOB, 2nd Floor
ML 5026
Cincinnati, OH 45229-3026
Phone (513) 636-7722

Other practice location 2

3430 Burnet Ave., MOB, 2nd Floor
ML 5026
Cincinnati, OH 45229-3026
Phone (513) 636-7722

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
I20111021000440 OH Practitioner - Pediatric Medicine 1052584851 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35094557OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Pediatrics CurrentSince Sep 15, 2011 Accepting new patients
Pediatric Associates PSC Pediatrics Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3430 Burnet Ave
Fl 2
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508030685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR STE 225",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173915",
            "telephone_number": "859-341-5400",
            "fax_number": "859-578-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR STE 225",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173915",
            "telephone_number": "859-341-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Burnet Ave., MOB, 2nd Floor",
            "address_2": "ML 5026",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-7722",
            "fax_number": "513-636-3737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Burnet Ave., MOB, 2nd Floor",
            "address_2": "ML 5026",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-7722",
            "fax_number": "513-636-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARRICK",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35094557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.