Organization Active NPI

Trihealth Physician Practices LLC

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1184667339
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRIHEALTH PHYSICIAN PRACTICES LLC
Practice address
4422 Carver Woods Dr
Suite 100
Cincinnati, OH 45242-5536
Phone
(513) 792-4700
Fax
(513) 792-4703
NPI assigned
Jun 14, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIHEALTH PHYSICIAN PRACTICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Donna S Nienaber
Title
Sole Member
Phone
(513) 862-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4422 Carver Woods Dr
Suite 100
Cincinnati, OH 45242-5536

Mailing address

PO Box 637676
Cincinnati, OH 45263-5156
Phone (513) 792-4700

Other identifiers 1

IdentifierTypeStateIssuer
2660759MedicaidOH

National Provider Directory

National Provider Directory
Part of
Trihealth Physician Practce

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1184667339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637676",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635156",
            "telephone_number": "513-792-4700",
            "fax_number": "513-569-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 CARVER WOODS DR",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425536",
            "telephone_number": "513-792-4700",
            "fax_number": "513-792-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIHEALTH PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-04-18",
        "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": "513-862-1400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660759",
            "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 Apr 18, 2013; 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.