Active NPI
Hillcrest Pediatrics Inc.
- Pediatrics Physician
- Mayfield Village, OH
National Provider Identifier
1912097189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227892 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Mayfield Village, OH
- NPI 1164423331
-
- Pediatrics Physician
- Mayfield Village, OH
- NPI 1427059567
-
- Pediatrics Physician
- Mayfield Village, OH
- NPI 1457352536
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.