Organization Active NPI

Fausto P Vasquez, MD, Inc

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1134199672
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAUSTO P VASQUEZ, MD, INC
Practice address
7017 Vine St
Cincinnati, OH 45216-2031
Phone
(512) 821-2201
Fax
(513) 821-2202
NPI assigned
Jan 26, 2006
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Fausto P Vasquez, MD
Title
President
Phone
(513) 821-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

7017 Vine St
Cincinnati, OH 45216-2031

Mailing address

7017 Vine St
Cincinnati, OH 45216-2031
Phone (512) 821-2201

Other identifiers 2

IdentifierTypeStateIssuer
3012680MedicaidOH
DB2859OtherOHRR MCR

National Provider Directory

National Provider Directory

Locations

7017 Vine St
Cincinnati, OH 45216
Phone (513) 821-2201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1134199672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452162031",
            "telephone_number": "512-821-2201",
            "fax_number": "513-821-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452162031",
            "telephone_number": "512-821-2201",
            "fax_number": "513-821-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTO P VASQUEZ, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-821-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012680",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DB2859",
            "state": "OH"
        }
    ],
    "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 Feb 27, 2014; 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.