Otilia P Fernandez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-054804 Issued in OH

Practice address

11258 Lebanon Rd
Cincinnati, OH 45241-2214

Phone

(513) 563-0044

Fax

(513) 563-0061

NPI assigned

Sep 13, 2005

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Otilia P Perrino Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Liberty Sharonville Pediatrics

  • Specialist
  • Cincinnati, OH
  • NPI 1356409718
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1548255839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 DRAKE RD.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45243",
            "telephone_number": "513-563-0044",
            "fax_number": "513-563-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11258 LEBANON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412214",
            "telephone_number": "513-563-0044",
            "fax_number": "513-563-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "OTILIA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-054804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0078183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OTILIA",
            "last_name": "PERRINO",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mariano Fernandez-Ulloa, MD
• Adelaida Fernandez, M.D.
• Francisco Fernandez, MD
• Katrina Fernandez, CNP
• Matthew Fernandez, LSW
• Stacey M Fernandez, LISW
• Lisa Ferneding, ATC
• Megan M Ferneding, FNP
• Megan Ferraioli, PA-C
• Peter Anthony Ferrante, APRN

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.