MEDICARE: SHALOM PEDIATRIC ASSOC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35028385N	OH

General Provider Information

NPI Number	:	1538327218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHALOM PEDIATRIC ASSOC, INC

Provider Business Mailing Address
First Line	:	2055 READING RD
Second Line	:	SUITE 420
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1461
Country	:	US
Telephone Number	:	513-861-5437
Fax Number	:	513-861-5495

Provider Business Practice Location Address
First Line	:	2055 READING RD
Second Line	:	SUITE 420
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1461
Country	:	US
Telephone Number	:	513-861-5437
Fax Number	:	513-861-5495

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DONALD L NOFZIGER
Credential	:	MD
Telephone Number	:	513-861-5437

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	05/29/2008

Similar Medicare Providers

1255408860 — TRISTATE CENTERS FOR SIGHT, INC.
Practice Location Address:

2055 READING RD , SUITE 330
CINCINNATI, OH
45202-1461

Practice Phone: 513-381-1900
Practice Fax: 513-287-6403

1215075569 — DR. MICHAEL ROBERT DRAZNIK M.D.
Practice Location Address:

2055 READING RD , SUITE 480
CINCINNATI, OH
45202-1461

Practice Phone: 513-579-0707
Practice Fax: 513-632-5482

1043409873 — FAIZUDDIN KHAJA MD
Practice Location Address:

2055 READING RD , SUITE 330
CINCINNATI, OH
45202-1461

Practice Phone: 513-381-1900
Practice Fax: 513-287-6403

1538329438 — DR. NANCY MARGARET HEINE-CAGGIANO M.D.
Practice Location Address:

2055 READING RD , SUITE 420
CINCINNATI, OH
45202-1461

Practice Phone: 513-861-5437
Practice Fax:

1922032721 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

8241 VINE ST
CINCINNATI, OH
45216-1461

Practice Phone: 513-821-9660
Practice Fax: 513-821-5307

1437541034 — ADAM RICHARD KLINGENBECK PHARM.D, RPH
Practice Location Address:

8241 VINE ST
CINCINNATI, OH
45216-1461

Practice Phone: 513-821-9660
Practice Fax: 513-821-5307

Directions to “SHALOM PEDIATRIC ASSOC, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.