Active NPI
Trihealth G., LLC
- Podiatrist
- Lebanon, OH
National Provider Identifier
1174654578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- TRIHEALTH G., LLC
- Doing business as
- Group Health Associates
- Practice address
- 100 Arrow Springs Blvd
Ste 2600
Lebanon, OH 45036-9863 - Phone
- (513) 872-4222
- NPI assigned
- Mar 8, 2007
- Organization subpart
- Yes
- Parent organization
- TRIHEALTH G LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melodie Blacklidge, MD
- Title
- Medical Director
- Phone
- (513) 841-5535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
100 Arrow Springs Blvd
Ste 2600
Lebanon, OH 45036-9863
Mailing address
4600 Wesley Ave
Ste N
Cincinnati, OH 45212-2298
Phone (513) 841-5519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2686517 | Medicaid | OH |
Other names 1
- Group Health Associates
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0899446 | Trihealth G LLC Arrow Springs | Certificate of waiver | Jul 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Trihealth G LLC
- Part of
- Trihealth G LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1174654578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 WESLEY AVE",
"address_2": "STE N",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122298",
"telephone_number": "513-841-5519",
"fax_number": "513-841-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARROW SPRINGS BLVD",
"address_2": "STE 2600",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369863",
"telephone_number": "513-872-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIHEALTH G., LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIHEALTH G LLC",
"enumeration_date": "2007-03-08",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "BLACKLIDGE",
"authorized_official_first_name": "MELODIE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "513-841-5535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2686517",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Group Health Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.