NPIMap

Organization Active NPI

Alliance Primary Care

Doing business as Heritage Hamilton Mason

  • Internal Medicine Physician
  • Hamilton, OH
National Provider Identifier
1316119043
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLIANCE PRIMARY CARE
Doing business as
Heritage Hamilton Mason
Practice address
3145 Hamilton Mason Rd
Second Floor
Hamilton, OH 45011-8557
Phone
(513) 867-0015
Fax
(513) 867-8751
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
James Larson
Title
Director Patient Accounting
Phone
(513) 585-9336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3145 Hamilton Mason Rd
Second Floor
Hamilton, OH 45011-8557

Mailing address

3200 Burnet Ave
1 Ridgeway
Cincinnati, OH 45229-3019
Phone (513) 585-9305

Other identifiers 1

IdentifierTypeStateIssuer
2637892MedicaidOH

Other names 1

  • HERITAGE HAMILTON MASON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Cincinnati Phys49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Locations

3145 Hamilton Mason Rd
Fl 2
Fairfield Township, OH 45011
Phone (513) 867-0015

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1316119043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "address_2": "1 RIDGEWAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019",
            "telephone_number": "513-585-9305",
            "fax_number": "513-585-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 HAMILTON MASON RD",
            "address_2": "SECOND FLOOR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118557",
            "telephone_number": "513-867-0015",
            "fax_number": "513-867-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "513-585-9336"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE HAMILTON MASON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.