NPIMap

Organization Active NPI

Living Well Ohio LLC

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1194150714
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVING WELL OHIO LLC
Practice address
10615 Montgomery Rd
Ste 150
Cincinnati, OH 45242-4460
Phone
(513) 984-9355
Fax
(859) 223-0642
NPI assigned
Sep 13, 2013
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Mr. Brian HitchcockNPI 1497127682
Title
Managing Director
Phone
(513) 475-3180

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10615 Montgomery Rd
Ste 150
Cincinnati, OH 45242-4460

Mailing address

10615 Montgomery Rd
Ste 150
Cincinnati, OH 45242-4460
Phone (513) 984-9355

Other identifiers 1

IdentifierTypeStateIssuer
0087223MedicaidOH

National Provider Directory

National Provider Directory

Locations

10615 Montgomery Rd
Ste 150
Montgomery, OH 45242
Phone (513) 475-3180

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1194150714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 MONTGOMERY RD",
            "address_2": "STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424460",
            "telephone_number": "513-984-9355",
            "fax_number": "859-223-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 MONTGOMERY RD",
            "address_2": "STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424460",
            "telephone_number": "513-984-9355",
            "fax_number": "859-223-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "513-475-3180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087223",
            "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 Feb 9, 2017; 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.