NPIMap

Individual provider Active NPI

Kathryn A.S. Wilson, DO, LLC

  • Family Medicine Physician
  • Springboro, OH
National Provider Identifier
1255331682
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34005372 Issued in OH
Practice address
32 S Richards Run
Springboro, OH 45066-8003
Phone
(937) 748-9051
Fax
(937) 748-9054
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34005372 OH Primary

Addresses

Primary practice location

32 S Richards Run
Springboro, OH 45066-8003

Mailing address

70 Southfield CT
Springboro, OH 45066-9268
Phone (937) 748-9051

Other identifiers 1

IdentifierTypeStateIssuer
0863945MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000851 OH Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8022041276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Ohio University, College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

6010 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 246-7000

6030 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 246-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5372OHMDPsychologist
34005372OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qualified Emergency Specialists Inc CurrentSince Apr 1, 2020 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC CurrentSince Nov 14, 2021 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

6139 Glenway Ave
Cincinnati, OH 45211
Phone (513) 346-3399

7991 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 346-3399

8350 Arbor Square Dr
Mason, OH 45040
Phone (513) 346-3399

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: kwilson142198@direct.trihealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1255331682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SOUTHFIELD CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669268",
            "telephone_number": "937-748-9051",
            "fax_number": "937-748-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S RICHARDS RUN",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668003",
            "telephone_number": "937-748-9051",
            "fax_number": "937-748-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRYN",
        "middle_name": "A.S.",
        "credential": "DO, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0863945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.