Forest Hills Pediatrics LLC
Organization Active NPI Pediatrics Physician · Cinti, OH
NPI 1720052277 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720052277
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 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
- Organization subpart
- No
Authorized official
- Name
- Ann Marie C Fix, MD
- Title
- Owner
- Phone
- (513) 232-5512
Practitioners 5
-
Ann Marie C Fix, MD
-
Nitza M Bennett, MD
-
Jessica M Faulkner, PA-C
-
Jillian Kathleen Miller, M.D.
-
Monique A Slaven, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0673103 | Forest Hills Pediatrics LLC | Certificate of waiver | Oct 30, 2027 |
National Provider Directory
Locations
7495 State Rd
Ste 335
Cincinnati, OH 45255
Phone (513) 232-5512
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170747 | Medicaid | OH |
Other providers in Cinti, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.