NPIMap

Organization Active NPI

Proscan Womens Imaging at Redbank

Doing business as Proscan Womens Imaging Center

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1013907120
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROSCAN WOMENS IMAGING AT REDBANK
Doing business as
Proscan Womens Imaging Center
Practice address
4850 Red Bank Rd
Cincinnati, OH 45227-1545
Phone
(513) 527-7750
Fax
(513) 527-7760
NPI assigned
Oct 28, 2005
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Elizabeth Hilton
Title
Cfo
Phone
(513) 281-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

4850 Red Bank Rd
Cincinnati, OH 45227-1545

Mailing address

4850 Red Bank Rd
Cincinnati, OH 45227-1545
Phone (513) 527-7750

Other identifiers 4

IdentifierTypeStateIssuer
2393173MedicaidOH
86000544MedicaidKY
DC4282OtherOHRAILROAD MEDICARE
000000364140OtherOHANTHEM PIN

Other names 1

  • Proscan Womens Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051216000012 OH Part B Supplier - Clinic/Group Practice 3577584606 Receives reassigned benefits from 43 practitioners
1 other NPI on this enrollment
Practice locations: Cincinnati, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Proscan Pink Ribbon Center Tri-County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8Plans: DEVOTED CORE 023 PA (HMO) (H6852-023-000, H6852); DEVOTED GIVEBACK 009 PA (HMO) (H6852-009-000, H6852); DEVOTED CORE 010 PA (HMO) (H6852-010-000, H6852); DEVOTED CORE 008 PA (HMO) (H6852-008-000, H6852); DEVOTED GIVEBACK 011 PA (HMO) (H6852-011-000, H6852); DEVOTED GIVEBACK 013 PA (HMO) (H6852-013-000, H6852); DEVOTED CORE 014 PA (HMO) (H6852-014-000, H6852); DEVOTED GIVEBACK 015 PA (HMO) (H6852-015-000, H6852); DEVOTED CORE 012 PA (HMO) (H6852-012-000, H6852)

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1013907120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 RED BANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271545",
            "telephone_number": "513-527-7750",
            "fax_number": "513-527-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 RED BANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271545",
            "telephone_number": "513-527-7750",
            "fax_number": "513-527-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN WOMENS IMAGING AT REDBANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-281-3400"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2393173",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000544",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4282",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000364140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proscan Womens Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.