Active NPI
Ohio Phlebology Professional Corporation
- Phlebology Physician
- Cincinnati, OH
National Provider Identifier
1205090347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- OHIO PHLEBOLOGY PROFESSIONAL CORPORATION
- Practice address
- 8044 Montgomery Rd
Suite 525
Cincinnati, OH 45236-2919 - Phone
- (630) 725-2768
- NPI assigned
- Jul 17, 2008
- Last updated
- Sep 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Bland
- Title
- Manager
- Phone
- (513) 793-7999
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | OH | ||
| Surgery Physician | 208600000X | OH | ||
| Vascular Surgery Physician | 2086S0129X | OH | ||
| Phlebology Physician | 202K00000X | OH | Primary |
Addresses
Primary practice location
8044 Montgomery Rd
Suite 525
Cincinnati, OH 45236-2919
Mailing address
8044 Montgomery Rd Ste 525
Cincinnati, OH 45236-2925
Phone (513) 793-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2055 Crocker Rd
Ste 207
Westlake, OH 44145
Phone (440) 835-5555
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Phlebology Physician
- Mentor, OH
- NPI 1316922255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1205090347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8044 MONTGOMERY RD STE 525",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362925",
"telephone_number": "513-793-7999",
"fax_number": "513-802-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8044 MONTGOMERY RD",
"address_2": "SUITE 525",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362919",
"telephone_number": "630-725-2768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO PHLEBOLOGY PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-17",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "BLAND",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "513-793-7999"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Ohio Living Communities (Ohio Living Llanfair)
- Ohio Living Holdings (Ohio Living Village Home Health)
- Ohio Living Holdings (Ohio Living Village Hospice)
- Ohio Pain & Injury Center LLC
- Ohio Pain and Injury Center (Ohio Medical & Rehab Ctr)
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Ohio River Dialysis LLC (White Oak Home Training Dialysis)
- Ohio River Dialysis, LLC (Eastgate Home Training)
- Ohio River Laboratories, LLC
- Ohio Spine and Body 2, LLC (Ohio Spine and Body)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.