Contemporary Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34003507M Issued in OH

Legal business name

CONTEMPORARY PEDIATRICS, INC.

Practice address

1516 Yankee Park PL
Centerville, OH 45458-1878

Phone

(937) 438-1115

Fax

(937) 424-4721

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Paul Myers, D.O.

Title

President

Phone

(937) 438-1115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1609042647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-438-1115",
            "fax_number": "937-424-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-438-1115",
            "fax_number": "937-424-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-438-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34003507M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952901",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly A Combs, DPT
• Gloria Antoinette Comer, RN
• Compunet Clinical Laboratories, LLC
• Compunet Clinical Laboratories, LLC
• Eugene Conte, DO
• Converse Pmhnp
• Tracy Marie Cook, RPH
• Carol A Cooke, CRNP
• Mason Andrew Cooksey, MAT, ATC
• Brice Coolidge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.