Active NPI
Trihealth Physician Practices, LLC
- Family Medicine Physician
- Lebanon, OH
National Provider Identifier
1154376622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRIHEALTH PHYSICIAN PRACTICES, LLC
- Practice address
- 100 Arrow Springs Blvd
Suite 2800
Lebanon, OH 45036 - Phone
- (513) 282-7300
- Fax
- (513) 282-7310
- NPI assigned
- May 23, 2006
- Organization subpart
- Yes
- Parent organization
- TRIHEALTH PHYSICIAN PRACTICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Donna S Nienaber
- Title
- Sole Member
- Phone
- (513) 569-6386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
100 Arrow Springs Blvd
Suite 2800
Lebanon, OH 45036
Mailing address
PO Box 635156
Cincinnati, OH 45263-5156
Phone (513) 569-6386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2549942 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Trihealth Physician Practices LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1154376622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635156",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635156",
"telephone_number": "513-569-6386",
"fax_number": "513-569-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARROW SPRINGS BLVD",
"address_2": "SUITE 2800",
"city": "LEBANON",
"state": "OH",
"postal_code": "45036",
"telephone_number": "513-282-7300",
"fax_number": "513-282-7310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
"enumeration_date": "2006-05-23",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "NIENABER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "513-569-6386",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2549942",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.