Active NPI
Internal Medicine of Cincinnati, LLC
- Internal Medicine Physician
- Florence, KY
National Provider Identifier
1104137983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35022
- Legal business name
- INTERNAL MEDICINE OF CINCINNATI, LLC
- Practice address
- 5940 Merchants St
Florence, KY 41042-1158 - Phone
- (859) 426-2400
- NPI assigned
- Jun 28, 2010
- 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
- Matthew D Wenker, MD
- Title
- Owner/President
- Phone
- (859) 426-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35022 | KY | Primary |
Addresses
Primary practice location
5940 Merchants St
Florence, KY 41042-1158
Mailing address
601 Washington Ave
Newport, KY 41071-1986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H12134 | Other | KY | UPIN |
National Provider Directory
National Provider DirectoryLocations
6870 Clough Pike
Cincinnati, OH 45244
Phone (513) 233-0831
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Florence, KY
- NPI 1730185463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1104137983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WASHINGTON AVE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410711986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 MERCHANTS ST",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421158",
"telephone_number": "859-426-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE OF CINCINNATI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "WENKER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "859-426-2400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "35022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "H12134",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.