Active NPI
Connie Fu
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1295197408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.027628
- Practice address
- 234 Goodman St
ML 0781
Cincinnati, OH 45219-2364 - Phone
- (513) 584-4505
- Fax
- (513) 584-0468
- NPI assigned
- Mar 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.027628 | OH | Primary |
Addresses
Primary practice location
234 Goodman St
ML 0781
Cincinnati, OH 45219-2364
Mailing address
234 Goodman St
ML 0781
Cincinnati, OH 45219-2364
Phone (513) 584-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475884800000",
"number": "1295197408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"address_2": "ML 0781",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-584-4505",
"fax_number": "513-584-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"address_2": "ML 0781",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-584-4505",
"fax_number": "513-584-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FU",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2016-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.027628",
"primary": true
}
],
"identifiers": [],
"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 Oct 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.