Ohio Physician Support Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OHIO PHYSICIAN SUPPORT INC

Practice address

11427 Reed Hartman Hwy
Suite 229
Blue Ash, OH 45241-2418

Phone

(502) 596-6939

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Sally L Brooks, M.D.

Title

President

Phone

(502) 596-6939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1063783553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY",
            "address_2": "SUITE 229",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "502-596-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY",
            "address_2": "SUITE 229",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "502-596-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PHYSICIAN SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-596-6939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.