Organization Active NPI

Arthritis & Rheumatic Diseases Center Inc

  • Rheumatology Physician
  • Oxford, OH
National Provider Identifier
1124036587
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35074843 Issued in OH
Legal business name
ARTHRITIS & RHEUMATIC DISEASES CENTER INC
Practice address
5151 Morning Sun Rd
Suite D
Oxford, OH 45056-9545
Phone
(513) 524-5549
Fax
(513) 664-3885
NPI assigned
Aug 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Hana M Badreddine, MD
Title
President
Phone
(513) 523-2111

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 35074843 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

5151 Morning Sun Rd
Suite D
Oxford, OH 45056-9545

Mailing address

PO Box 632885
Cincinnati, OH 45263-2885
Phone (513) 421-3504

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
200366730AMedicaidIN
65936783MedicaidKY
2197555MedicaidOH

Other names 1

NPPES NPI Registry
  • ARDC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2009.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1124036587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632885",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632885",
            "telephone_number": "513-421-3504",
            "fax_number": "513-231-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MORNING SUN RD",
            "address_2": "SUITE D",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569545",
            "telephone_number": "513-524-5549",
            "fax_number": "513-664-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS & RHEUMATIC DISEASES CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BADREDDINE",
        "authorized_official_first_name": "HANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-523-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35074843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366730A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936783",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.