Active NPI
Edward R Garvin, M.D.
- Pediatrics Physician
- Cincinnati, OH
National Provider Identifier
1932258126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 087943
- Practice address
- 3006 Portsmouth Ave
Cincinnati, OH 45208-1510 - Phone
- (513) 871-0684
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 087943 | OH | Primary |
Addresses
Primary practice location
3006 Portsmouth Ave
Cincinnati, OH 45208-1510
Mailing address
3006 Portsmouth Ave
Cincinnati, OH 45208-1510
Phone (513) 871-0684
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087943 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pediatricians of Hyde Park LLC | Pediatrics | Current | Accepting new patients |
Locations
3666 Paxton Ave
Cincinnati, OH 45208
Phone (513) 871-0684
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1932664695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932258126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 PORTSMOUTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452081510",
"telephone_number": "513-871-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 PORTSMOUTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452081510",
"telephone_number": "513-871-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVIN",
"first_name": "EDWARD",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "087943",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.