Active NPI
Frank T Jenike, MD
- Cardiovascular Disease Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35.031105
- Practice address
- 3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335 - Phone
- (513) 751-4222
- Fax
- (513) 751-4353
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35.031105 | OH | Primary |
Addresses
Primary practice location
3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335
Mailing address
3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335
Phone (513) 751-4222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100348670 | Medicaid | IN | |
| 64864184 | Medicaid | KY | |
| 0166350 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031105 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 35.031105 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Cincinnati Cardiovascular Consultants | Cardiovascular Disease | Current | Accepting new patients |
| Professional Readers Group, Inc | Past | Accepting new patients |
Locations
Dept 1462
Cincinnati, OH 45263
4760 E Galbraith Rd
Ste 205
Cincinnati, OH 45236
Phone (513) 215-8305
2123 Auburn Ave
Ste 624
Cincinnati, OH 45219
Phone (513) 564-1600
3000 Mack Rd
Ste 100
Fairfield, OH 45014
425 Home St
Georgetown, OH 45121
Phone (937) 378-6121
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1144229899
-
- Specialist
- Cincinnati, OH
- NPI 1861445702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1083613780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"address_2": "SUITE 100",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-751-4222",
"fax_number": "513-751-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"address_2": "SUITE 100",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-751-4222",
"fax_number": "513-751-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENIKE",
"first_name": "FRANK",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35.031105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100348670",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64864184",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0166350",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.