Organization Active NPI

Greater Cincinnati Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Cincinnati, OH
National Provider Identifier
1144229899
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35031105 Issued in OH
Legal business name
GREATER CINCINNATI CARDIOVASCULAR CONSULTANTS
Practice address
2123 Auburn Avenue
Suite 624
Cincinnati, OH 45219-2906
Phone
(513) 751-4222
Fax
(513) 751-4353
NPI assigned
Jul 15, 2005
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
F. Thomas Jenike, MD
Title
President
Phone
(513) 751-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35031105 OH Primary

Addresses

Primary practice location

2123 Auburn Avenue
Suite 624
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Avenue
Suite 624
Cincinnati, OH 45219-2906
Phone (513) 751-4222

Other identifiers 4

IdentifierTypeStateIssuer
65919193MedicaidKY
845447MedicaidOH
000000015271OtherANTHEM
100028740MedicaidIN

National Provider Directory

National Provider Directory

Locations

606 Wilson Creek Rd
Ste 410
Lawrenceburg, IN 47025
Phone (812) 537-0110

2230 Auburn Ave
Ste B2
Cincinnati, OH 45219

2450 Kipling Ave
Ste G
Cincinnati, OH 45239
Phone (513) 541-7800

3327 Glenmore Ave
Cincinnati, OH 45211
Phone (513) 451-1555

5049 Crookshank Rd
Ste 205
Cincinnati, OH 45238

903 NW Washington Blvd
Ste D
Hamilton, OH 45013
Phone (513) 863-0909

9311 S Mason Montgomery Rd
Ste 103
Mason, OH 45040
Phone (513) 985-0741

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1144229899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVENUE",
            "address_2": "SUITE 624",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "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": "2123 AUBURN AVENUE",
            "address_2": "SUITE 624",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-751-4222",
            "fax_number": "513-751-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CINCINNATI CARDIOVASCULAR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "JENIKE",
        "authorized_official_first_name": "F. THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-751-4222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35031105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65919193",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "845447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000015271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028740",
            "state": "IN"
        }
    ],
    "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 Sep 9, 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.

Verify at the official NPI Registry.