Organization Active NPI

Western Family Physicians, Inc.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1235224700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTERN FAMILY PHYSICIANS, INC.
Practice address
2450 Kipling Ave.
Suite 108
Cincinnati, OH 45239
Phone
(513) 853-4900
Fax
(513) 853-4909
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. R. Stephen Eby, MD
Title
President
Phone
(513) 853-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2450 Kipling Ave.
Suite 108
Cincinnati, OH 45239

Mailing address

2450 Kipling Ave.
Suite 108
Cincinnati, OH 45239
Phone (513) 853-4900

Other identifiers 1

IdentifierTypeStateIssuer
0118812MedicaidOH

National Provider Directory

National Provider Directory

Locations

2450 Kipling Ave
Ste 108
Cincinnati, OH 45239
Phone (513) 853-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235224700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 KIPLING AVE.",
            "address_2": "SUITE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45239",
            "telephone_number": "513-853-4900",
            "fax_number": "513-853-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 KIPLING AVE.",
            "address_2": "SUITE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45239",
            "telephone_number": "513-853-4900",
            "fax_number": "513-853-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN FAMILY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-853-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118812",
            "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 Aug 22, 2020; 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.