Organization Active NPI

Forest Hills Pediatrics LLC

  • Pediatrics Physician
  • Cinti, OH
National Provider Identifier
1720052277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FOREST HILLS PEDIATRICS LLC
Practice address
7495 State Road
Ste 335
Cinti, OH 45255
Phone
(513) 232-5512
Fax
(513) 232-3341
NPI assigned
Feb 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Marie C Fix, MDNPI 1295707479
Title
Owner
Phone
(513) 232-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

7495 State Road
Ste 335
Cinti, OH 45255

Mailing address

7495 State Road
Ste 335
Cinti, OH 45255
Phone (513) 232-5512

Other identifiers 1

IdentifierTypeStateIssuer
0170747MedicaidOH

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
36D0673103Forest Hills Pediatrics LLC7495 State Road Suite 335, Cincinnati, OH 45255Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory

Locations

7495 State Rd
Ste 335
Cincinnati, OH 45255
Phone (513) 232-5512

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720052277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 STATE ROAD",
            "address_2": "STE 335",
            "city": "CINTI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-232-5512",
            "fax_number": "513-232-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 STATE ROAD",
            "address_2": "STE 335",
            "city": "CINTI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-232-5512",
            "fax_number": "513-232-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-232-5512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinti, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.