Active NPI
Physicians Healthsource Inc
- Chiropractor
- Cincinnati, OH
National Provider Identifier
1154462893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PHYSICIANS HEALTHSOURCE INC
- Practice address
- 3328 Westbourne Dr
Cincinnati, OH 45248-5133 - Phone
- (513) 922-1599
- Fax
- (513) 347-2735
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John E Ruch, DC
- Title
- President
- Phone
- (513) 922-2204
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
3328 Westbourne Dr
Cincinnati, OH 45248-5133
Mailing address
3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone (513) 922-1599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2558558 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
6460 Harrison Ave
Fl 3
Cincinnati, OH 45247
Phone (513) 842-7781
3159 Montana Ave
Cincinnati, OH 45211
Phone (513) 922-1599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468368000000",
"number": "1154462893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3328 WESTBOURNE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452485133",
"telephone_number": "513-922-1599",
"fax_number": "513-347-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3328 WESTBOURNE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452485133",
"telephone_number": "513-922-1599",
"fax_number": "513-347-2735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HEALTHSOURCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2016-07-13",
"status": "A",
"authorized_official_last_name": "RUCH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-922-2204",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2558558",
"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 Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.