Organization Active NPI

Hillcrest Pediatrics Inc.

  • Pediatrics Physician
  • Mayfield Village, OH
National Provider Identifier
1912097189
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HILLCREST PEDIATRICS INC.
Practice address
6559 Wilson Mills Rd
BLDG D Suite 101
Mayfield Village, OH 44143-6402
Phone
(440) 473-0010
Fax
(440) 460-2812
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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

Authorized official

Name
Dr. Jeffrey Harvey Jinks, M.D.
Title
President
Phone
(440) 473-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6559 Wilson Mills Rd
BLDG D Suite 101
Mayfield Village, OH 44143-6402

Mailing address

6559 Wilson Mills Rd
BLDG D Suite 101
Mayfield Village, OH 44143-6402
Phone (440) 473-0010

Other identifiers 1

IdentifierTypeStateIssuer
0227892MedicaidOH

National Provider Directory

National Provider Directory

Locations

6559 Wilson Mills Rd
Bldg D
Mayfield Village, OH 44143
Phone (440) 473-0010

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319932800000",
    "number": "1912097189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD",
            "address_2": "BLDG D SUITE 101",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-473-0010",
            "fax_number": "440-460-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD",
            "address_2": "BLDG D SUITE 101",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-473-0010",
            "fax_number": "440-460-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-10-30",
        "status": "A",
        "authorized_official_last_name": "JINKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-473-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2011; 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.