Active NPI
The Fort Hamilton Hospital, Inc.
Doing business as Ft. Hamilton Professional Services
- Psychiatry Physician
- Hamilton, OH
National Provider Identifier
1033120076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THE FORT HAMILTON HOSPITAL, INC.
- Doing business as
- Ft. Hamilton Professional Services
- Practice address
- 630 Eaton Ave
Hamilton, OH 45013-2767 - Phone
- (513) 867-2433
- Fax
- (513) 867-2499
- NPI assigned
- Aug 11, 2006
- Last updated
- Apr 27, 2009
- Organization subpart
- Yes
- Parent organization
- THE FORT HAMILTON HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Snyder
- Title
- Director, Finance
- Phone
- (513) 867-2236
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Neurology Physician | 2084N0400X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
630 Eaton Ave
Hamilton, OH 45013-2767
Mailing address
3200 Burnet Ave
1 Ridgeway
Cincinnati, OH 45229-3019
Phone (513) 585-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125402 | Medicaid | OH |
Other names 1
- Ft. Hamilton Professional Services
National Provider Directory
National Provider Directory- Part of
- Ft Hamilton Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1033120076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 BURNET AVE",
"address_2": "1 RIDGEWAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293019",
"telephone_number": "513-585-9009",
"fax_number": "513-585-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 EATON AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132767",
"telephone_number": "513-867-2433",
"fax_number": "513-867-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FORT HAMILTON HOSPITAL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE FORT HAMILTON HOSPITAL",
"enumeration_date": "2006-08-11",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "DIRECTOR, FINANCE",
"authorized_official_telephone_number": "513-867-2236"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125402",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ft. Hamilton Professional Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hamilton, OH
- Edward Thatcher
- The Fort Hamilton Hospital (Kettering Health Hamilton)
- The Fort Hamilton Hospital (Ft. Hamilton Cardiology)
- The Fort Hamilton Hospital (Kettering Health Hamilton Inpatient Rehab Unit)
- The Fort Hamilton Hospital (Kettering Health Pharmacy Hamilton)
- The Great Miami Valley Young Men's Christian Association
- The John Engle Christian Counseling Center
- The Laurels of Hamilton, LLC (The Laurels of Hamilton)
- The Lodge Activity Center LLC,
- The Supportive E.a.R. Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.