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MUDDY CREEK PEDIATRICS LLC
NPI 1417081092
Pediatrics in Mason, OH

Active since March 15, 2007CLIA 36D1013993 · Waiver
608 READING RD STE D, MASON, OH 45040(513) 398-3900(513) 398-4950 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Muddy Creek Pediatrics Llc NPPES

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

MUDDY CREEK PEDIATRICS LLC (NPI 1417081092) is a healthcare organization registered as a pediatrics in Mason, Ohio and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Todd D Habel, Owner, as its authorized official.

NPPES Registry Identity

NPI1417081092
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMUDDY CREEK PEDIATRICS LLC
Location Address608 READING RD STE DMason, OH 45040-1561
Mailing Address608 Reading Rd Ste DMason, OH 45040-1561 · (513) 398-3900 · Fax (513) 398-4950
Phone(513) 398-3900
Fax(513) 398-4950
Organization SubpartNo
Authorized OfficialTodd D HabelOwner · (513) 398-3900
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417081092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

608 READING RD STE D, Mason, OH 45040
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Other Identifiers 1

Other000000284778OH · Anthem Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 36D1013993

Muddy Creek Pediatrics LLC · Mason, OH
Active · expires May 3, 2027
CLIA Number36D1013993
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorKathryn E. Omalley
Laboratory Phone(513) 398-3900
Laboratory LocationMuddy Creek Pediatrics LLC6400 Thornberry Ct, Ste 610, Mason, OH 45040
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

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

KATHRYN ELLEN OMALLEY M.D.
Pediatrics
608 READING RD STE D
MASON, OH 45040
Warren County (513) 398-3900

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 Muddy Creek Pediatrics LLC's NPI number?

The NPI number for Muddy Creek Pediatrics LLC is 1417081092. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Muddy Creek Pediatrics LLC located?

Muddy Creek Pediatrics LLC is located at 608 Reading Rd Ste D, Mason, OH 45040. The listed phone number is (513) 398-3900.

What is Muddy Creek Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Muddy Creek Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1013993) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Muddy Creek Pediatrics LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.