Active NPI
Cincy Medical & Rehab, LLC
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1265976583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CINCY MEDICAL & REHAB, LLC
- Practice address
- 4333 E Galbraith Rd
Cincinnati, OH 45236-2437 - Phone
- (513) 543-6600
- NPI assigned
- Dec 5, 2016
- 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
- Kathy Peterson
- Title
- Office MGR
- Phone
- (513) 544-8634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4333 E Galbraith Rd
Cincinnati, OH 45236-2437
Mailing address
4333 E Galbraith Rd
Cincinnati, OH 45236-2437
Phone (513) 543-6600
Other names 1
- Prime Health Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1265976583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362437",
"telephone_number": "513-543-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362437",
"telephone_number": "513-543-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CINCY MEDICAL & REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "513-544-8634"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Health Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.