Active NPI
Vivien R. Newbold, M.D.
- Emergency Medicine Physician
- Cincinnati, OH
National Provider Identifier
1326095290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-06-4455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000007422 | Other | ANTHEM BCBS | |
| 000000185066 | Other | OH | UNISON MEDICAID |
| 930008466 | Other | OH | RAILROAD MEDICARE |
| 001714081 | Other | MOUNTAIN STATE BCBS | |
| 0044489000 | Medicaid | WV | |
| 0897472 | Other | OH | MOLINA MEDICAID |
| 0897472 | Medicaid | OH | |
| 310917085154 | Other | OH | OH 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Jackson, OH
- NPI 1801326178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.