Individual provider Active NPI

Marilyn Elizabeth Crumpton, MD, MPH

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1942466099
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35090124 Issued in OH
Practice address
3101 Burnet Avenue
Cincinnati Health Dept/School Health
Cincinnati, OH 45204-2052
Phone
(513) 357-7417
Fax
(513) 357-2750
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35090124 OH Primary

Addresses

Primary practice location

3101 Burnet Avenue
Cincinnati Health Dept/School Health
Cincinnati, OH 45204-2052

Mailing address

3101 Burnet Avenue
Room 116 Medical Director'S Office
Cincinnati, OH 45229
Phone (513) 357-7289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35090124OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati Past Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients
City of Cincinnati Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1942466099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVENUE",
            "address_2": "ROOM 116 MEDICAL DIRECTOR'S OFFICE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-357-7289",
            "fax_number": "513-357-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVENUE",
            "address_2": "CINCINNATI HEALTH DEPT/SCHOOL HEALTH",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452042052",
            "telephone_number": "513-357-7417",
            "fax_number": "513-357-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "MARILYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35090124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.