Organization Active NPI

Cincinnati Advanced Medical LLC

  • General Practice Physician
  • Blue Ash, OH
National Provider Identifier
1083234330
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CINCINNATI ADVANCED MEDICAL LLC
Practice address
9403 Kenwood Rd Ste D203
Blue Ash, OH 45242-6878
Phone
(540) 908-5072
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Jonathan ClaarNPI 1043388309
Title
Owner, Authorized Official
Phone
(540) 908-5072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9403 Kenwood Rd Ste D203
Blue Ash, OH 45242-6878

Mailing address

9403 Kenwood Rd Ste D203
Blue Ash, OH 45242-6878
Phone (540) 908-5072

National Provider Directory

National Provider Directory

Locations

9403 Kenwood Rd
Ste D203
Blue Ash, OH 45242
Phone (513) 686-8100

Practitioners & affiliated clinicians

Practitioners 1

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": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1083234330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD STE D203",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426878",
            "telephone_number": "540-908-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD STE D203",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426878",
            "telephone_number": "540-908-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI ADVANCED MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "CLAAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "540-908-5072"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.