Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790767036 Individual Practitioner Female Practitioner

Dr. Anne Kim Mackow , MD, MPH

Surgery - Pediatric Surgery • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Anne Mackow, MD, MPH is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Dayton, OH. Practice services are available at 1 CHILDRENS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041815

Telephone 9376414000
Fax 9376414500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Dayton, OH (85 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-19
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License OH 35.121933

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0090078 (OH)

Secondary Practice Locations

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9376413000

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376414000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003808007

Doctor of Medicine (M.D.)

Dr. Ramakrishna Mutyala , MD

Pediatrics - Pediatric Gastroenterology

NPI 1013194802

Doctor of Medicine (M.D.)

Seth Kidwell , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1033533484

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Caitlyn Mccomb , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1033606017

Doctor of Medicine (M.D.)

Savana Howard , MS, NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1033675962

Master of Science, NNPBC

Lori Milliron , CPNP

Nurse Practitioner - Pediatrics

NPI 1043410830

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address October 13, 2023

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376413000)

📍
Updated Practice Location January 25, 2023

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376414000)

📍
Updated Business Mailing Address January 25, 2023

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413000)

NPI Profile Active July 07, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 07, 2017

Registered at 11100 EUCLID AVE, RM RBC122, MAILSTOP 6015, CLEVELAND, OH 44106

📍
Updated Practice Location July 07, 2017

Registered at 11100 EUCLID AVE, RBC 1ST FLOOR RM 122, MAILSTOP 6015, CLEVELAND, OH 441061716 (Tel: 2168443015)

👤
Provider Name / Credentials Updated July 07, 2017

Recorded as ANNE MACKOW, M.D./ M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2017

Surgery (License #35.121933 in OH)

NPI Profile Active October 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2013

Registered at 11100 EUCLID AVE, RBC 1ST FLOOR RM 122, MAILSTOP 6015, CLEVELAND, OH 441061716 (Tel: 2168443015)

📍
Updated Business Mailing Address October 16, 2013

Registered at 24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 441171714

👤
Provider Name / Credentials Updated October 16, 2013

Recorded as ANNE KIM, M.D./ M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2013

Surgery (License #35.121933 in OH)

🟢
Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790767036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: November 19, 2025
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376413000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.