Healthcare Provider Details

I. General information

NPI: 1720052277
Provider Name (Legal Business Name): FOREST HILLS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 STATE ROAD STE 335
CINTI OH
45255
US

IV. Provider business mailing address

7495 STATE ROAD STE 335
CINTI OH
45255
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-5512
  • Fax: 513-232-3341
Mailing address:
  • Phone: 513-232-5512
  • Fax: 513-232-3341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ANN MARIE C FIX
Title or Position: OWNER
Credential: MD
Phone: 513-232-5512