NPIMap

Organization Active NPI

Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Kettering, OH
National Provider Identifier
1619090750
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OHIO PEDIATRICS, INC.
Practice address
1775 Delco Park Drive
Kettering, OH 45420-1398
Phone
(937) 299-2587
Fax
(937) 299-0124
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mrs. Michele Milner
Title
Practice Manager
Phone
(937) 299-2743

Specialties & licenses 1

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

Addresses

Primary practice location

1775 Delco Park Drive
Kettering, OH 45420-1398

Mailing address

1775 Delco Park Drive
Kettering, OH 45420-1398
Phone (937) 299-2587

Other identifiers 1

IdentifierTypeStateIssuer
0951788MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2119126Ohio Pediatrics, Inc1775 Delco Park Dr, Kettering, OH 45420Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

7200 Poe Ave
Ste 201
Dayton, OH 45414
Phone (937) 236-5396

7200 Poe Ave
Dayton, OH 45414

7371 Brandt Pike
Ste C
Huber Heights, OH 45424
Phone (937) 236-3956

500 Lincoln Park Blvd
Ste 302
Kettering, OH 45429
Phone (937) 299-2339

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1619090750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DRIVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "937-299-2587",
            "fax_number": "937-299-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DRIVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "937-299-2587",
            "fax_number": "937-299-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-299-2743",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.