Provider Demographics
NPI:1104084482
Name:PEDIATRIC ASSOCIATES OF CINCINNATI, INC
Entity type:Organization
Organization Name:PEDIATRIC ASSOCIATES OF CINCINNATI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NARDINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-791-2532
Mailing Address - Street 1:4370 MALSBARY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5653
Mailing Address - Country:US
Mailing Address - Phone:513-791-1222
Mailing Address - Fax:513-791-2561
Practice Address - Street 1:4370 MALSBARY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5653
Practice Address - Country:US
Practice Address - Phone:513-791-1222
Practice Address - Fax:513-791-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty