Suburban Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUBURBAN PEDIATRICS

Practice address

9600 Children Dr
Mason, OH 45040-6791

Phone

(513) 336-6700

Fax

(513) 398-2109

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathie Finney

Title

Office Manager

Phone

(513) 336-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Suburban Pediatric Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suburban Pediatric Associates Inc

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1801945159
  NPD tax ID

Locations

Practitioners 2

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.

• Kristin L Kaltenstadler, MD

  • Pediatrics Physician
  • Mason, OH
  • NPI 1306056015
  NPD (past)
• Amanda Sue Lee, M.D.

  • Pediatrics Physician
  • Mason, OH
  • NPI 1013185594
  NPD (past)

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1851784755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 CHILDREN DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406791",
            "telephone_number": "513-336-6700",
            "fax_number": "513-398-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 CHILDREN DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406791",
            "telephone_number": "513-336-6700",
            "fax_number": "513-398-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-336-6700"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory James Stucke, O.D.
• Kacie Lee Stucke, O.D.
• Ronald Stump, RN
• Lindsay Stutz
• Vivienne Kwan Su, DPT
• Kelly Maria Sulek
• Mark Joseph Sulek, D.O.
• Suzanne Sumida, M.D.
• Robyn H Suna, MD
• Sunshine in Home Care and Assistance LTD. (Sunshine LLC)

• Clinic/Center in Mason, OH
• Providers in Mason, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.