Organization Active NPI

CHMC Community Health Services Network

  • Pediatrics Physician
  • Florence, KY
National Provider Identifier
1568069144
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHMC COMMUNITY HEALTH SERVICES NETWORK
Practice address
10032 Demia Way
Florence, KY 41042-4734
Phone
(859) 647-6700
Fax
(859) 372-6362
NPI assigned
Oct 6, 2020
Organization subpart
Yes
Parent organization
CHMC COMMUNITY HEALTH SERVICES NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Catherine E. Guthrie, MS, CPMSM, CPCS
Title
Director Medical Staff Services
Phone
(513) 636-9691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

10032 Demia Way
Florence, KY 41042-4734

Mailing address

3333 Burnet Ave. ML 5021
Cincinnati, OH 45229-3026
Phone (513) 636-4225

Other names 1

  • Cincinnati Children's Florence Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHMC Community Health Services Network2 organizations share this tax ID, including this one
Part of
CHMC Community Health Services Network

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1568069144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE. ML 5021",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 DEMIA WAY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424734",
            "telephone_number": "859-647-6700",
            "fax_number": "859-372-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHMC COMMUNITY HEALTH SERVICES NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHMC COMMUNITY HEALTH SERVICES NETWORK",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "513-636-9691",
        "authorized_official_credential": "MS, CPMSM, CPCS"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cincinnati Children's Florence Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.