Organization Active NPI

Neurology Associates of Southern Ohio LLC

  • Neurology Physician
  • Hamilton, OH
National Provider Identifier
1013168087
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF SOUTHERN OHIO LLC
Practice address
1010 Cereal Ave
Ste 212
Hamilton, OH 45013-2784
Phone
(513) 867-2560
Fax
(513) 737-3389
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Omar Mulla Ossmann, MD
Title
Owner
Phone
(513) 867-2560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1010 Cereal Ave
Ste 212
Hamilton, OH 45013-2784

Mailing address

1010 Cereal Ave
Suite 212
Hamilton, OH 45013-2784
Phone (513) 867-2560

Other identifiers 5

IdentifierTypeStateIssuer
7100079810MedicaidKY
2916170MedicaidOH
DO4383OtherRR MEDICARE
200948730 AMedicaidIN
200948730 BMedicaidIN

National Provider Directory

National Provider Directory

Locations

2055 Hospital Dr
Ste 365
Batavia, OH 45103
Phone (513) 732-2660

Practitioners & affiliated clinicians

Practitioners 2

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": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1013168087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "SUITE 212",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132784",
            "telephone_number": "513-867-2560",
            "fax_number": "513-737-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "STE 212",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132784",
            "telephone_number": "513-867-2560",
            "fax_number": "513-737-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF SOUTHERN OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MULLA OSSMANN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-867-2560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100079810",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2916170",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO4383",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200948730 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200948730 B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.