LIBERTY SHARONVILLE PEDIATRICS
NPI 1356409718
Specialist in Cincinnati, OH

NPI Status: Active since December 05, 2006

Contact Information

11258 LEBANON RD
CINCINNATI, OH
ZIP 45241
Phone: (513) 563-0044
Fax: (513) 563-0061

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 36D1048097
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2025

About LIBERTY SHARONVILLE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Liberty Sharonville Pediatrics, a provider established in Cincinnati, Ohio operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1356409718 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number 040823 (OH). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Steven R Brinn M.d. (Physician)

NPI
1356409718
Provider Name
LIBERTY SHARONVILLE PEDIATRICS
Entity Type
Organization
Location Address
11258 LEBANON RD CINCINNATI, OH 45241
Location Phone
(513) 563-0044
Location Fax
(513) 563-0061
Mailing Address
11258 LEBANON RD CINCINNATI, OH 45241
Mailing Phone
(513) 563-0044
Mailing Fax
(513) 563-0061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
03-26-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
040823
License State
OH
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEVEN R BRINN M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(513) 563-0044

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0912570MEDICAID (05)HI 
000000016767OTHER (01)OHANTHEM BCBS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1048097
Facility Type
Physician Office
Certificate Effective Date
July 12, 2023
Certificate Expiration Date
July 11, 2025
Laboratory Director
LAUREN PECK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Liberty Sharonville Pediatrics on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for LIBERTY SHARONVILLE PEDIATRICS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356409718
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106801872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 8 + 0 + 1 + 8 + 7 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1356409718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639164924 STEVEN R. BRINN M.D.
Individual
Pediatrics11258 LEBANON RD
CINCINNATI, OH 45241
(513) 563-0044
1073508362 LAUREN A PECK M.D.
Individual
Pediatrics11258 LEBANON RD
CINCINNATI, OH 45241
(513) 563-0044
1033505292 PAIGE TENNEY PHILLIPS MD
Individual
Pediatrics11258 LEBANON RD
CINCINNATI, OH 45241
(513) 563-0044
1548255839 OTILIA P FERNANDEZ M.D.
Individual
Pediatrics11258 LEBANON RD
CINCINNATI, OH 45241
(513) 563-0044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356409718, enumerated in the NPI registry as an "organization" on December 05, 2006

The provider is located at 11258 Lebanon Rd Cincinnati, Oh 45241 and the phone number is (513) 563-0044

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D1048097 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on December 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.