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MONTGOMERY PEDIATRICS INCORPORATED
NPI 1194917062
Preferred Provider Organization in Cincinnati, OH

Active since August 15, 2007CLIA 36D0347821 · Waiver
10700 MONTGOMERY RD, SUITE 100, CINCINNATI, OH 45242(513) 984-5552(513) 984-5554 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montgomery Pediatrics Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTGOMERY PEDIATRICS INCORPORATED (NPI 1194917062) is a healthcare organization registered as a preferred provider organization in Cincinnati, Ohio and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Jenny Vaughn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194917062
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMONTGOMERY PEDIATRICS INCORPORATED
Location Address10700 MONTGOMERY RD, SUITE 100Cincinnati, OH 45242-3255
Mailing Address10700 Montgomery Rd, Suite 100Cincinnati, OH 45242-3255 · (513) 984-5552 · Fax (513) 984-5554
Phone(513) 984-5552
Fax(513) 984-5554
Organization SubpartNo
Authorized OfficialJenny VaughnOffice Manager · (513) 984-5552
Enumeration DateAugust 15, 2007
✔ NPI 1194917062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OH · 35041085L
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
10700 MONTGOMERY RD, Cincinnati, OH 45242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0347821

Montgomery Pediatrics, Inc · Cincinnati, OH
Active · expires Jun 2, 2028
CLIA Number36D0347821
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorSharon D'souza
Laboratory Phone(513) 984-5552
Laboratory LocationMontgomery Pediatrics, Inc9157 Montgomery Road Suite 100, Cincinnati, OH 45242
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. AARON MICHAEL COOTS MSW, LSW
Counselor (Mental Health)
10700 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 385-9600
1037 INVESTMENTS, LLC
Home Health
10700 MONTGOMERY RD, SUITE 216
CINCINNATI, OH 45242
Hamilton County (513) 489-0980
HAND SURGERY SPECIALISTS, INC.
Specialist
10700 MONTGOMERY RD, STE 150
CINCINNATI, OH 45242
Hamilton County (513) 961-4263
DR. ANDREW D MARKIEWITZ M.D.
Orthopaedic Surgery
10700 MONTGOMERY RD, STE 150
CINCINNATI, OH 45242
Hamilton County (513) 961-4263
MARY TADLOCK COTA
Occupational Therapy Assistant
10700 MONTGOMERY RD, SUITE 125
CINCINNATI, OH 45242
Hamilton County (513) 489-5300
MRS. CHANDRA YVETTE GRAVELY MD
Obstetrics & Gynecology
10700 MONTGOMERY RD, SUITE 311
CINCINNATI, OH 45242
Hamilton County (513) 891-0211
JOHN CONNELL P.T.
Physical Therapist
10700 MONTGOMERY RD, SUITE 125
CINCINNATI, OH 45242
Hamilton County (513) 489-5300
ALISON R HEFFERNAN M.D.
Pediatrics
10700 MONTGOMERY RD, SUITE 100
CINCINNATI, OH 45242
Hamilton County (513) 984-5552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montgomery Pediatrics Incorporated's NPI number?

The NPI number for Montgomery Pediatrics Incorporated is 1194917062. It was assigned to this organization in the NPPES registry on August 15, 2007.

Where is Montgomery Pediatrics Incorporated located?

Montgomery Pediatrics Incorporated is located at 10700 Montgomery Rd Suite 100, Cincinnati, OH 45242. The listed phone number is (513) 984-5552.

What is Montgomery Pediatrics Incorporated's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Montgomery Pediatrics Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0347821) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montgomery Pediatrics Incorporated accept?

Health plans from CareSource list Montgomery Pediatrics Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montgomery Pediatrics Incorporated was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.