NPIMap

Organization Active NPI

Ohio Pediatrics, Inc.

  • Pediatrics Physician
  • Vandalia, OH
National Provider Identifier
1699921932
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OHIO PEDIATRICS, INC.
Practice address
7200 Poe Ave
Suite 201
Vandalia, OH 45414-2547
Phone
(937) 236-5396
NPI assigned
Aug 18, 2008
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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) 299-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

7200 Poe Ave
Suite 201
Vandalia, OH 45414-2547

Mailing address

1775 Delco Park Dr
Kettering, OH 45420-1398
Phone (937) 299-2339

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
36D0349720Ohio Pediatrics, Inc7200 Poe Ave, Ste 201, Dayton, OH 45414Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1699921932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "937-299-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 POE AVE",
            "address_2": "SUITE 201",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "454142547",
            "telephone_number": "937-236-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-299-2339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.