NPIMap

Organization Active NPI

Ourhealth Physician Group, LLC

  • Primary Care Clinic/Center
  • Mason, OH
National Provider Identifier
1003382243
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OURHEALTH PHYSICIAN GROUP, LLC
Practice address
2188 Kings Mills Rd
Mason, OH 45040-2400
Phone
(513) 964-0830
NPI assigned
Oct 15, 2018
Organization subpart
Yes
Parent organization
OURHEALTH PHYSICIAN GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Michael Wells
Title
President
Phone
(317) 522-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2188 Kings Mills Rd
Mason, OH 45040-2400

Mailing address

4151 E 96TH St
Indianapolis, IN 46240-1442

National Provider Directory

National Provider Directory
Tax ID family
Ourhealth Physicians Group LLC69 organizations share this tax ID, including this one
Part of
Ourhealth Physicians Group LLC

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1003382243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 KINGS MILLS RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402400",
            "telephone_number": "513-964-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURHEALTH PHYSICIAN GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OURHEALTH PHYSICIAN GROUP, LLC",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-522-0823"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.