Active NPI
Kristin Patricia Magner, M.D.
- Obstetrics & Gynecology Physician
- Cincinnati, OH
National Provider Identifier
1619101979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.120206
- Practice address
- 2123 Auburn Ave
Suite 624
Cincinnati, OH 45219-2906 - Phone
- (513) 564-4000
- Fax
- (513) 564-4001
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.120206 | OH | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 46211 | KY |
Addresses
Primary practice location
2123 Auburn Ave
Suite 624
Cincinnati, OH 45219-2906
Mailing address
237 William Howard Taft Rd
2ND Floor, Cbo2-3, Attn: Credentialing
Cincinnati, OH 45219-2610
Phone (513) 263-8551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088619 | Medicaid | OH | |
| 7100259300 | Medicaid | KY | |
| H222770 | Other | OH | MEDICARE |
Other names 1
- Kristin Patricia Shull
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.120206 | OH | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1619101979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WILLIAM HOWARD TAFT RD",
"address_2": "2ND FLOOR, CBO2-3, ATTN: CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192610",
"telephone_number": "513-263-8551",
"fax_number": "513-366-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"address_2": "SUITE 624",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-564-4000",
"fax_number": "513-564-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNER",
"first_name": "KRISTIN",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.120206",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "46211",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088619",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100259300",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H222770",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SHULL",
"middle_name": "PATRICIA",
"code": "1",
"type": "Former Name"
}
]
}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 Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.