Active NPI
Catherine A Defoor, MD
- Pediatrics Physician
- Florence, KY
National Provider Identifier
1902879836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36455
- Practice address
- 7300 Turfway Road
Florence, KY 41042-4895 - Phone
- (859) 212-5025
- Fax
- (859) 212-4432
- NPI assigned
- Feb 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35079403D | OH | |
| Pediatrics Physician | 208000000X | 36455 | KY | Primary |
Addresses
Primary practice location
7300 Turfway Road
Florence, KY 41042-4895
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 212-5025
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50024405 | Other | KY | PASSPORT MEDICAID |
| 0052768 | Medicaid | OH | |
| 64035819 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079403D | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Pediatrics | Current | Accepting new patients |
Locations
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
7300 Turfway Rd
Florence, KY 41042
Phone (859) 212-4700
7370 Turfway Rd
Ste 200
Florence, KY 41042
Phone (859) 212-5025
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- cdefoor110811@direct-prd.stelizabeth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1902879836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-212-5025",
"fax_number": "859-212-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 TURFWAY ROAD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424895",
"telephone_number": "859-212-5025",
"fax_number": "859-212-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFOOR",
"first_name": "CATHERINE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35079403D",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "36455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT MEDICAID",
"identifier": "50024405",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052768",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64035819",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.