Organization Active NPI

Shalom Pediatric Assoc, Inc

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1538327218
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35028385N Issued in OH
Legal business name
SHALOM PEDIATRIC ASSOC, INC
Practice address
2055 Reading Rd
Suite 420
Cincinnati, OH 45202-1461
Phone
(513) 861-5437
Fax
(513) 861-5495
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Donald L Nofziger, MD
Title
President
Phone
(513) 861-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35028385N OH Primary

Addresses

Primary practice location

2055 Reading Rd
Suite 420
Cincinnati, OH 45202-1461

Mailing address

2055 Reading Rd
Suite 420
Cincinnati, OH 45202-1461
Phone (513) 861-5437

National Provider Directory

National Provider Directory

Locations

2055 Reading Rd
Ste 420
Cincinnati, OH 45202
Phone (513) 861-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1538327218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 READING RD",
            "address_2": "SUITE 420",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021461",
            "telephone_number": "513-861-5437",
            "fax_number": "513-861-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 READING RD",
            "address_2": "SUITE 420",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021461",
            "telephone_number": "513-861-5437",
            "fax_number": "513-861-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PEDIATRIC ASSOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "NOFZIGER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-861-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35028385N",
            "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 May 29, 2008; 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.