Active NPI
Hyde Park Pediatrics, Inc
- Pediatrics Physician
- Cincinnati, OH
National Provider Identifier
1982767562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HYDE PARK PEDIATRICS, INC
- Practice address
- 3330 Erie Ave
Suite 11
Cincinnati, OH 45208-1656 - Phone
- (513) 321-0199
- Fax
- (513) 321-0301
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 21, 2022
- 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
- Mrs. Kasey Macke, RN
- Title
- Office Manager
- Phone
- (513) 321-0199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OH | Primary |
Addresses
Primary practice location
3330 Erie Ave
Suite 11
Cincinnati, OH 45208-1656
Mailing address
3330 Erie Ave
Suite 11
Cincinnati, OH 45208-1656
Phone (513) 321-0199
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0345958 | Hyde Park Pediatrics, Inc | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
3330 Erie Ave
Ste 11
Cincinnati, OH 45208
Phone (513) 321-0199
Interoperability endpoints
- https://api.platform.athenahealth.com/15133/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1134293855
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1205396371
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1275093627
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1154288116
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1144384223
-
- Pediatrics Physician
- Orlando, FL
- NPI 1265964100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1982767562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 ERIE AVE",
"address_2": "SUITE 11",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452081656",
"telephone_number": "513-321-0199",
"fax_number": "513-321-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 ERIE AVE",
"address_2": "SUITE 11",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452081656",
"telephone_number": "513-321-0199",
"fax_number": "513-321-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYDE PARK PEDIATRICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MACKE",
"authorized_official_first_name": "KASEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "513-321-0199",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Hyde Park Counseling Professionals
- Hyde Park Counseling Professionals
- Hyde Park Medical Associates, Inc.
- Hyde Park Optometrists, Inc.
- Hyde Park Pediatric Dentistry
- Hyde Park Physical Medicine, Inc. (Kenwood Rehabilitation)
- Hyde Park Thyroid and Endocrine LLC
- Emmanuella Hyde-Napoleon
- Kelli Marie Hyde, MSW, BCBA, COBA
- Robert Newcomb Hyde, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.