OrganizationActive
Montgomery Pediatrics Incorporated
NPI 1194917062 · Preferred Provider Organization · Cincinnati, OH
Provider details
- NPI number
- 1194917062
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jenny Vaughn, Office Manager(513) 984-5552
- License
- 35041085L (OH)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10700 Montgomery Rd
Suite 100
Cincinnati, OH 45242-3255
Phone: (513) 984-5552
Fax: (513) 984-5554
Street-level locationGet directions
Mailing address
10700 Montgomery Rd
Cincinnati, OH 45242-3255
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2007-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.