Individual provider Active NPI

Peggy Kaminski, MD

  • Pediatrics Physician
  • Lorain, OH
National Provider Identifier
1699857938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35057650K Issued in OH
Practice address
3600 Kolbe Rd Ste 120
Lorain, OH 44053-1652
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35057650K OH Primary

Addresses

Primary practice location

3600 Kolbe Rd Ste 120
Lorain, OH 44053-1652

Mailing address

PO Box 74614
Cleveland, OH 44194-0697
Phone (216) 383-6480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208001001 OH Practitioner - Pediatric Medicine 5294992822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35057650KOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry Current Accepting new patients
Lorain County Health & Dentistry Pediatrics CurrentSince Nov 6, 2015 Accepting new patients
Lorain County Health & Dentistry CurrentSince Nov 6, 2015 Accepting new patients
Clinic Regional Physicians LLC Pediatrics Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

105 Louden Ct
Elyria, OH 44035

1205 Broadway
Lorain, OH 44052

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: peggy.kaminski.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699857938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74614",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940697",
            "telephone_number": "216-383-6480",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 120",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "PEGGY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35057650K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.