NPIMap

Organization Active NPI

Bethesda Care Eastgate

  • Occupational Medicine Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1164596326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
35071748 Issued in OH
Legal business name
BETHESDA CARE EASTGATE
Practice address
4452 Eastgate Blvd
Suite 101
Cincinnati, OH 45245-1584
Phone
(513) 752-3695
Fax
(513) 752-3039
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chuc Phuc Le, M.D.NPI 1619140688
Title
Facility Medical Director
Phone
(513) 752-3695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 35071748 OH Primary

Addresses

Primary practice location

4452 Eastgate Blvd
Suite 101
Cincinnati, OH 45245-1584

Mailing address

10185 Waterside CT
Union, KY 41091-9489
Phone (859) 384-7221

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Healthcare Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164596326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10185 WATERSIDE CT",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410919489",
            "telephone_number": "859-384-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-752-3695",
            "fax_number": "513-752-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CARE EASTGATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CHUC",
        "authorized_official_middle_name": "PHUC",
        "authorized_official_title_or_position": "FACILITY MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-752-3695",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "OH",
            "license": "35071748",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.