Active NPI
Kara Omlor, PA-C, AT-C
- Physician Assistant
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006249RX
- Practice address
- 3333 Burnet Ave
ML 1013
Cincinnati, OH 45229 - Phone
- (513) 636-4466
- Fax
- (513) 636-5846
- NPI assigned
- Sep 6, 2018
- Last updated
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC765 | KY | |
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 50.006249RX | OH | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
3333 Burnet Ave
ML 1013
Cincinnati, OH 45229
Mailing address
3333 Burnet Ave
ML 1013
Cincinnati, OH 45229-3026
Phone (513) 636-4466
Other practice location 1
800 Rose Street Pavilion Ha Fourth Floor
Lexington, KY 40536-0001
Phone (859) 323-5000
Other practice location 2
800 Rose Street Pavilion Ha Fourth Floor
Lexington, KY 40536-0001
Phone (859) 323-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC765 | KY | MD | Physician Assistant |
| 50.006249RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Medical Center | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1790267664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 1013",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4466",
"fax_number": "513-636-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 1013",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-4466",
"fax_number": "513-636-5846"
}
],
"practiceLocations": [
{
"address_1": "800 Rose Street Pavilion Ha Fourth Floor",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-323-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Rose Street Pavilion Ha Fourth Floor",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-323-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMLOR",
"first_name": "KARA",
"credential": "PA-C, AT-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC765",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006249RX",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.