Community Pediatrics, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

076356 Issued in OH

Legal business name

COMMUNITY PEDIATRICS, INC

Practice address

3966 Brown Park Drive, Suite C
Hilliard, OH 43026-1164

Phone

(614) 876-1304

Fax

(614) 876-6844

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Enaas F Kasheer

Title

President

Phone

(614) 876-1304

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1669723409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 BROWN PARK DRIVE, SUITE C",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3966 BROWN PARK DRIVE, SUITE C",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261164",
            "telephone_number": "614-876-1304",
            "fax_number": "614-876-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "KASHEER",
        "authorized_official_first_name": "ENAAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-876-1304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "076356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.