KATHERINE LIVESAY BROERING (NPI# 1609142579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609142579 |
| Entity Type | Individual |
| Full Name | KATHERINE LIVESAY BROERING |
| Credential | M.D. |
| Practice Address |
6010 S Mason Montgomery Rd Mason OH 45040-3706 |
| Mailing Address |
4685 Forest Ave Ste C Cincinnati OH 45212-3359 |
| Practice Telephone | 5132467000 |
| Practice Fax Number | 5132046355 |
| Mailing Telephone | 5132467000 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35.125398 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO LICENSE | 35.125398 | 01 |
| Street Address |
6010 S MASON MONTGOMERY RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058037 | Michael A Hoffmann | Internal Medicine | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2006-01-20 |
| 1053791483 | Jeffrey Zaenger | Nurse Practitioner | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-06-01 |
| 1982081931 | Benjamin Terrence Minick | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-04-29 |
| 1821480096 | Melissa Lynn Basile | Occupational Therapist | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-02-25 |
| 1326453150 | Cory Davis | Nurse Practitioner | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2014-07-01 |
| 1912246711 | Jeannie Marchionda | Audiologist | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2013-02-14 |
| 1932463551 | Michelle E Khosla | Nurse Practitioner | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2012-06-28 |
| 1699039529 | Kayla Jeanell Smith | Plastic Surgery | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2012-06-26 |
| 1306136460 | Kelly M Bennett | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2011-04-11 |
| 1417199084 | Shrishail Melappa Nashi | Physical Medicine & Rehabilitation | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2009-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841432416 | Aimee Michelle Reeder | Pediatrics | 9600 Children Dr Bldg D, Suite 100, Mason, OH 45040-6791 | 2009-03-29 |
| 1306056015 | Kristin L Kaltenstadler | Pediatrics | 9600 Children Dr, Mason, OH 45040-6791 | 2007-05-23 |
| 1457415390 | Kathryn Ellen Omalley | Pediatrics | 608 Reading Rd Ste D, Mason, OH 45040-1561 | 2006-12-21 |
| 1316001258 | Todd David Habel | Pediatrics | 6400 Thornberry Ct Ste 610, Mason, OH 45040-7818 | 2006-12-21 |
| 1083662886 | Thanh T Truong | Pediatrics | 5126 Butler Warren Rd, Mason, OH 45040-1241 | 2006-05-04 |
| 1952364424 | Thomas A Roesch | Pediatrics | 5386 Cox Smith Rd, Suite A, Mason, OH 45040-9289 | 2006-04-07 |
| 1942271390 | Robert E Dempsey | Pediatrics | 585 Jewett Rd, Mason, MI 48854-8729 | 2006-02-01 |
| 1043210388 | Balzer C. Sandrock | Pediatrics | 8185 Corporate Way, Mason, OH 45040-9335 | 2005-07-28 |
| 1942801022 | Chmc Community Health Services Network | Pediatrics | 9600 Children Dr Bldg D, Mason, OH 45040-6791 | 2020-11-04 |
| 1982081931 | Benjamin Terrence Minick | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-04-29 |
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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.