Muddy Creek Pediatrics Llc

LBN: Muddy Creek Pediatrics Llc
Muddy Creek Pediatrics Llc is an health care organization with primary practice located at 608 Reading Rd Ste D , Mason OH 45040-1561. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Muddy Creek Pediatrics Llc can be contacted via phone (513) 398-3900, or through Habel, Todd D via phone (513) 398-3900.

Contact Information

Primary practice address
608 Reading Rd Ste D Mason OH 45040-1561
Phone: (513) 398-3900
Fax: (513) 398-4950
Website:
Map and Directions
Authorized official contact:
Name: Habel, Todd D Doctor of Medicine (MD)
Phone: (513) 398-3900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1417081092
LBN Legal business name Muddy Creek Pediatrics Llc
DBA Doing business as
Authorized official Habel, Todd D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417081092 NPPES
Ohio Other 000000284778 ANTHEM BCBS

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