# CHILDREN'S MEDICAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083665137
- **Authorized official:** MICHELLE STULTZ RN, CPCS, CPCSM (SENIOR DIRECTOR, MSS)
- **Authorized official phone:** (513) 636-6977

## Contact information

- **Practice address:** 3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3039
- **Practice address phone:** (513) 636-4408
- **Practice address fax:** (513) 636-7337
- **Mailing address:** 3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
- **Mailing address phone:** (513) 636-5013
- **Mailing address fax:** (866) 213-7084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP3000X | Pediatric Anesthesiology Physician | — | NULL | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 06/19/2008