DR. JOHN M. CHILDRESS (NPI# 1134157605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134157605 |
| Entity Type | Individual |
| Full Name | DR. JOHN M. CHILDRESS |
| Credential | M.D. |
| Practice Address |
234 Goodman St Cincinnati OH 45219-2364 |
| Mailing Address |
3200 Burnet Ave 3 South, Credentialing Cincinnati OH 45229-3019 |
| Practice Telephone | 5135585281 |
| Practice Fax Number | 5135585791 |
| Mailing Telephone | 5135585281 |
| Mailing Fax Number | 5135585791 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 35 123788 | OH | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | ME95727 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME 95727 | FL | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
ME 95727 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PENDING | 05 | |
| FL | BLUE SHIELD OF FL | PENDING | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275551673 | John Frederick Childress IIi | Psychologist | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2006-07-17 |
| 1164986329 | John Childress Iv | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2019-01-22 |
| 1780902841 | John Clyde Childress IIi | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-05-13 |
| 1568662781 | John Michael Childress | Social Worker | Blanchfield Army Community Hospital, 650 Jole Drive, Fort Campbell, KY 42223-5349 | 2007-07-25 |
| Street Address |
234 GOODMAN ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798187 | Jody Brennan | Advanced Practice Midwife | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-05-31 |
| 1639770035 | Maria Hilton | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-03 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1417564675 | Sarah Henkes | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-30 |
| 1245846229 | Isabel Lynn Renner | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-16 |
| 1720606650 | Maura Di Nicola | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-07-07 |
| 1215553912 | Brendan R Wilson | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-06-19 |
| 1902427412 | Fabiane Retzner | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784802 | Mary Josephine Soller | Physical Medicine & Rehabilitation | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2019-01-28 |
| 1265790299 | Timothy Michael Burns | Physical Medicine & Rehabilitation | 260 Stetson St, Suite 5200, Cincinnati, OH 45219-2498 | 2012-04-27 |
| 1245462837 | Alberto Maldonado | Physical Medicine & Rehabilitation | 500 E Business Way, Cincinnati, OH 45241-2374 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457855827 | Paul Miller | Physical Medicine & Rehabilitation | 819 N Main Ave, Sidney, OH 45365-2152 | 2018-03-21 |
| 1407204639 | Pinnacle Integrated Health, LLC | Physical Medicine & Rehabilitation | 914 Trailwood Drive, Boardman, OH 44512-5007 | 2016-05-27 |
| 1992123335 | Brenton Charles Bohlig | Physical Medicine & Rehabilitation | 950 Bethesda Drive, Building 5, Unit 1, Zanesville, OH 43701 | 2014-04-02 |
| 1437461142 | Patricia Ann Bornhorst | Physical Medicine & Rehabilitation | 6325 Emerald Pkwy Ste 2b, Dublin, OH 43016-3241 | 2010-07-10 |
| 1841369196 | Jeffrey Ryan Doeringer | Physical Medicine & Rehabilitation | 121 Carriage Hill Dr, Athens, OH 45701-3213 | 2006-11-08 |
| 1043307333 | Melissa Mae Waddell | Physical Medicine & Rehabilitation | 118 Rarden Rd, Peebles, OH 45660-1049 | 2006-10-06 |
| 1821083528 | Thomas A Rossi | Physical Medicine & Rehabilitation | 6905 Hospital Dr, Suite 120, Dublin, OH 43016-9600 | 2005-09-19 |
| 1437159829 | Cuyahoga Valley Spine & Arthritis Center, Inc. | Physical Medicine & Rehabilitation | 14755 Pearl Rd, Strongsville, OH 44136-5026 | 2005-07-28 |
| 1992702427 | Ronald Michael Yarab Jr. | Physical Medicine & Rehabilitation | 822 E Western Reserve Rd, Poland, OH 44514-3359 | 2005-06-30 |
| 1841899325 | Jamie L Flynn | Physical Medicine & Rehabilitation | 1149 Stone Dr Ste 500, Harrison, OH 45030-2728 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.