Organization Active NPI

Mt. Airy Medical Arts, Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1104868694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MT. AIRY MEDICAL ARTS, INC.
Practice address
2841 Blue Rock Rd
Cincinnati, OH 45239-6334
Phone
(513) 923-3500
Fax
(513) 923-4464
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ludmila Maria Gracanin, M.D.
Title
President
Phone
(513) 923-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2841 Blue Rock Rd
Cincinnati, OH 45239-6334

Mailing address

2841 Blue Rock Rd
Cincinnati, OH 45239-6334
Phone (513) 923-3500

National Provider Directory

National Provider Directory

Locations

2841 Blue Rock Rd
Cincinnati, OH 45239
Phone (513) 923-3500

2450 Kipling Ave
Ste 208
Cincinnati, OH 45239
Phone (513) 923-3500

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104868694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 BLUE ROCK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396334",
            "telephone_number": "513-923-3500",
            "fax_number": "513-923-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 BLUE ROCK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396334",
            "telephone_number": "513-923-3500",
            "fax_number": "513-923-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. AIRY MEDICAL ARTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRACANIN",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-923-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.