Individual provider Active NPI

Vivien R. Newbold, M.D.

  • Emergency Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1326095290
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-06-4455 Issued in OH
Practice address
8170 Corporate Park Dr
Suite 150
Cincinnati, OH 45242-3313
Phone
(513) 924-5300
Fax
(513) 351-3800
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.064455 OH
Emergency Medicine Physician 207P00000X 35-06-4455 OH Primary

Addresses

Primary practice location

8170 Corporate Park Dr
Suite 150
Cincinnati, OH 45242-3313

Mailing address

8170 Corporate Park Dr
Suite 150
Cincinnati, OH 45242-3313
Phone (513) 924-5300

Other identifiers 8

IdentifierTypeStateIssuer
000000007422OtherANTHEM BCBS
000000185066OtherOHUNISON MEDICAID
930008466OtherOHRAILROAD MEDICARE
001714081OtherMOUNTAIN STATE BCBS
0044489000MedicaidWV
0897472OtherOHMOLINA MEDICAID
0897472MedicaidOH
310917085154OtherOHOH MEDICAID CARESOURCE

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Physical Therapy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1326095290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 CORPORATE PARK DR",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423313",
            "telephone_number": "513-924-5300",
            "fax_number": "513-351-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 CORPORATE PARK DR",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423313",
            "telephone_number": "513-924-5300",
            "fax_number": "513-351-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "VIVIEN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.064455",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-06-4455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000007422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON MEDICAID",
            "identifier": "000000185066",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930008466",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001714081",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044489000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MEDICAID",
            "identifier": "0897472",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897472",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAID CARESOURCE",
            "identifier": "310917085154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.