NPIMap

Organization Active NPI

Your MD, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1326200205
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
YOUR MD, LLC
Practice address
8250 Kenwood Crossing Way
Suite 225
Cincinnati, OH 45236-3670
Phone
(513) 721-9600
Fax
(513) 721-1649
NPI assigned
Jul 1, 2008
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Bruce C Corser, MDNPI 1790727030
Title
MD/Owner
Phone
(513) 721-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X Primary

Addresses

Primary practice location

8250 Kenwood Crossing Way
Suite 225
Cincinnati, OH 45236-3670

Mailing address

PO Box 633883
Cincinnati, OH 45263-3883
Phone (513) 721-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000195 OH Part B Supplier - Clinic/Group Practice 8123915022 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2123 Auburn Ave
Ste 308
Cincinnati, OH 45219
Phone (513) 241-9929

5240 E Galbraith Rd
Fl 1
Cincinnati, OH 45236

5240 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 721-9600

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1326200205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633883",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633883",
            "telephone_number": "513-721-9600",
            "fax_number": "513-721-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 KENWOOD CROSSING WAY",
            "address_2": "SUITE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363670",
            "telephone_number": "513-721-9600",
            "fax_number": "513-721-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CORSER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "513-721-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "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 Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.