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MONCLOVA ROAD PEDIATRICS
NPI 1679901649
Pediatrics in Maumee, OH

Active since October 29, 2013CLIA 36D1045226 · Waiver
5757 MONCLOVA RD STE 10, MAUMEE, OH 43537(419) 887-0803(419) 887-0817 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monclova Road Pediatrics NPPES

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

MONCLOVA ROAD PEDIATRICS (NPI 1679901649) is a healthcare organization registered as a pediatrics in Maumee, Ohio and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Kathryn R Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1679901649
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMONCLOVA ROAD PEDIATRICS
Location Address5757 MONCLOVA RD STE 10Maumee, OH 43537-1863
Mailing Address5757 Monclova Rd Ste 10Maumee, OH 43537-1863 · (419) 887-0803 · Fax (419) 887-0817
Phone(419) 887-0803
Fax(419) 887-0817
Organization SubpartNo
Authorized OfficialKathryn R DavisOwner · (419) 887-0803
Enumeration DateOctober 29, 2013
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1679901649 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.
5757 MONCLOVA RD STE 10, Maumee, OH 43537
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 36D1045226

Monclova Road Pediatrics · Maumee, OH
Active · expires Sep 7, 2027
CLIA Number36D1045226
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorKathryn R. Davis
Laboratory Phone(419) 887-0803
Laboratory LocationMonclova Road Pediatrics5757 Monclova Road #10, Maumee, OH 43537
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 2

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

DR. KATHRYN RACHEL DAVIS M.D.
Pediatrics
5757 MONCLOVA RD STE 10
MAUMEE, OH 43537
Lucas County (419) 887-0803
RACHEL MCALLISTER MS, RDN, LD
Dietitian, Registered
5757 MONCLOVA RD STE 10
MAUMEE, OH 43537
Lucas County (419) 887-0803

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 Monclova Road Pediatrics's NPI number?

The NPI number for Monclova Road Pediatrics is 1679901649. It was assigned to this organization in the NPPES registry on October 29, 2013.

Where is Monclova Road Pediatrics located?

Monclova Road Pediatrics is located at 5757 Monclova Rd Ste 10, Maumee, OH 43537. The listed phone number is (419) 887-0803.

What is Monclova Road Pediatrics's specialty?

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

Does Monclova Road Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1045226) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Monclova Road Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Monclova Road Pediatrics 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 Monclova Road Pediatrics was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.