Individual provider Active NPI

Nathan Wiedemann, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1326570557
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.138665 Issued in OH
Practice address
6949 Good Samaritan Dr
Cincinnati, OH 45247-5204
Phone
(513) 246-8900
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.138665 OH Primary

Addresses

Primary practice location

6949 Good Samaritan Dr
Cincinnati, OH 45247-5204

Mailing address

6949 Good Samaritan Dr
Cincinnati, OH 45247-5204
Phone (513) 931-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528001413 OH Practitioner - Family Practice 2668744491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

10506 B Montgomery Rd
Suite 407
Montgomery, OH 45242-4402
Phone (513) 793-2077

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

2162 Kings Mills Rd
Suite 101
Mason, OH 45040-2400
Phone (513) 246-2260

6010 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 246-7000

6030 S Mason Montgomery Rd
Mason, OH 45040-3706
Phone (513) 246-7000

740 W Galbraith Rd
Cincinnati, OH 45231-6002

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Trihealth G, LLC CurrentSince Jul 1, 2020 Accepting new patients
Trihealth H LLC Past Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Locations

6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

Interoperability endpoints

  • Direct secure messaging: nwiedemann251372@direct.trihealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1326570557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 GOOD SAMARITAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475204",
            "telephone_number": "513-931-2400",
            "fax_number": "513-931-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 GOOD SAMARITAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475204",
            "telephone_number": "513-246-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMANN",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.138665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.