Organization
CHILDREN'S MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STULTZ RN, CPCS, CPCSM (SENIOR DIRECTOR, MSS)
(513) 636-6977
Entity
Organization
Contact information
Practice address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3039
(513) 636-4408
(513) 636-7337
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-5013
(866) 213-7084
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001846002
—
WV
05
—
001888699-0001
—
PA
05
—
0031704
—
NJ
05
—
02800044
—
NY
05
—
0747634
—
IA
05
—
08780896
—
MS
05
—
1012171
—
VT
01
—
1172523
PASSPORT
KY
05
—
123442100
—
WY
05
—
168854101
—
TX
05
—
200073160A
—
OK
05
—
200318570A
—
IN
05
—
200421920A
—
KS
05
—
2229805
—
OH
05
—
4401094
—
TN
05
—
65934085
—
KY
05
—
912592200
—
FL
05
—
CH93141
—
RI
05
—
QPA275
—
SC
Enumeration date
05/13/2006
Last updated
06/19/2008
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