Organization Active NPI

Anderson Parkside Internal Medicine

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1306901640
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANDERSON PARKSIDE INTERNAL MEDICINE
Practice address
7525 State Rd Ste B
Cincinnati, OH 45255-6406
Phone
(513) 232-4400
Fax
(513) 233-4382
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Terrence F McCoy, MD
Title
Owner
Phone
(513) 232-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7525 State Rd Ste B
Cincinnati, OH 45255-6406

Mailing address

7525 State Rd Ste B
Cincinnati, OH 45255-6406
Phone (513) 232-4400

Other identifiers 1

IdentifierTypeStateIssuer
0933557MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1306901640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 STATE RD STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452556406",
            "telephone_number": "513-232-4400",
            "fax_number": "513-233-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 STATE RD STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452556406",
            "telephone_number": "513-232-4400",
            "fax_number": "513-233-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PARKSIDE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-232-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0933557",
            "state": "OH"
        }
    ],
    "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 Mar 18, 2011; 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.