Organization Active NPI

Maineville Family Physicians Inc

  • Family Medicine Physician
  • Maineville, OH
National Provider Identifier
1235324401
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAINEVILLE FAMILY PHYSICIANS INC
Practice address
67 Nunner Rd.
Maineville, OH 45039
Phone
(513) 677-2405
Fax
(513) 677-2781
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Cindy A Barrial
Title
Office Manager
Phone
(513) 677-2405

Specialties & licenses 1

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

Addresses

Primary practice location

67 Nunner Rd.
Maineville, OH 45039

Mailing address

67 Nunner Rd
Maineville, OH 45039
Phone (513) 677-2405

Other identifiers 1

IdentifierTypeStateIssuer
2821610MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000166 OH Part B Supplier - Clinic/Group Practice 1153410642 Receives reassigned benefits from 2 practitioners
Practice locations: Maineville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1235324401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD.",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEVILLE FAMILY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "BARRIAL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-677-2405"
    },
    "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": "2821610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.

Verify at the official NPI Registry.