Organization
WEST SIDE PEDIATRICS
Active
Organization
WEST SIDE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE TEBBEN (PRACTICE MANAGER)
(513) 347-5083
Entity
Organization
Contact information
Practice address
7074 HARRISON AVE, CINCINNATI, OH 45247
(513) 922-8200
(513) 347-0082
Mailing address
663 ANDERSON FERRY RD, CINCINNATI, OH 45238
(513) 922-8200
(513) 347-0082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0954794
—
OH
Enumeration date
06/20/2017
Last updated
06/20/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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