Mercy Health Physicians Cincinnati, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Practice address

2859 Boudinot Ave
Suite 304
Cincinnati, OH 45238-1606

Phone

(513) 981-6784

Fax

(513) 981-4346

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEALTH WESTERN HILLS ORTHO & SPINEAs reported in NPPES

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

Authorized official

Name

Ms. Donna Fultz

Title

Corporate Manager

Phone

(513) 981-6610

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Mercy Health Cincinnati LLC

Locations

Practitioners 2

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.

• Michael Roy Chen, M.D.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1043428212
  NPD (past)
• Matthew Ernest Ciambarella, D.C.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1194884957
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1184020067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632110",
            "telephone_number": "513-981-6610",
            "fax_number": "513-981-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 BOUDINOT AVE",
            "address_2": "SUITE 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452381606",
            "telephone_number": "513-981-6784",
            "fax_number": "513-981-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH WESTERN HILLS ORTHO & SPINE",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "513-981-6610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Health Physicians Cincinnati Specialty Care LLC
• Mercy Health Physicians Cincinnati Specialty Care LLC
• Mercy Health Physicians Cincinnati Specialty Care, LLC
• Mercy Health Physicians Cincinnati Specialty Care, LLC
• Mercy Health Physicians Cincinnati, LLC (Mercy Health Cardiovascular, Thoracic, Vascular and Endovascular)
• Mercy Health Physicians Cincinnati, LLC (Mercy Health Kenwood Ortho & Spine)
• Mercy Health Physicians Cincinnati, LLC
• Mercy Hospital Fairfield
• Mercy Hospital Western Hills
• Mercy Kenwood Ambulatory Surgery Center LLC

• Orthopaedic Surgery Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.