Physician Services Group, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PHYSICIAN SERVICES GROUP, INC

Practice address

8118 Corporate Way
Suite 110
Mason, OH 45040-7350

Phone

(513) 229-0872

Fax

(513) 229-5322

NPI assigned

Feb 3, 2013

Organization subpart

No

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

Authorized official

Name

Melanie G Faulkner

Title

Chief Operations Officer

Phone

(423) 332-5155

Specialties & licenses 2

Addresses

Tax ID family

Physician Services Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physician Services Group

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1205175890
  NPD tax ID

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1295074888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 DAYTON PIKE",
            "address_2": "SUITE A",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794727",
            "telephone_number": "423-332-5155",
            "fax_number": "423-332-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 CORPORATE WAY",
            "address_2": "SUITE 110",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407350",
            "telephone_number": "513-229-0872",
            "fax_number": "513-229-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SERVICES GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "423-332-5155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Pettibone
• Marylena Juanna Pettigrew
• Kay Louise Pfeifer, OTR/L
• Annie Phan
• Taylor Phillips
• Kara Pickrel, CCC-SLP
• Chelsea Piening
• Todd K. Pieper, D.D.S.
• Brian Lee Piispanen, MA
• Linda Marie Piller, CCC-SLP

• Prosthetic/Orthotic Supplier in Mason, OH
• Providers in Mason, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; 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.