Active NPI
Saint Ignatius Family Clinic
- Primary Care Clinic/Center
- Fort Mitchell, KY
National Provider Identifier
1023256179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SAINT IGNATIUS FAMILY CLINIC
- Practice address
- 17 Cambridge Dr
Fort Mitchell, KY 41017-2804 - Phone
- (513) 253-0331
- NPI assigned
- Jan 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack Readnour, MD
- Title
- President
- Phone
- (859) 912-1046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OH | Primary |
Addresses
Primary practice location
17 Cambridge Dr
Fort Mitchell, KY 41017-2804
Mailing address
17 Cambridge Drive
Fort. Mitchell, KY 41017
Phone (859) 912-1046
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233100800000",
"number": "1023256179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CAMBRIDGE DRIVE",
"city": "FORT. MITCHELL",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-912-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CAMBRIDGE DR",
"city": "FORT MITCHELL",
"state": "KY",
"postal_code": "410172804",
"telephone_number": "513-253-0331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT IGNATIUS FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-28",
"last_updated": "2009-01-28",
"status": "A",
"authorized_official_last_name": "READNOUR",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-912-1046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.