Organization Active NPI

Hyde Park Pediatrics, Inc

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1982767562
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0345958Hyde Park Pediatrics, Inc3330 Erie Avenue, Cincinnati, OH 45208Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

3330 Erie Ave
Ste 11
Cincinnati, OH 45208
Phone (513) 321-0199

Interoperability endpoints

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.