NPIMap

Organization Active NPI

Trihealth Q LLC

Doing business as Queen City Physicians

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1336458165
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRIHEALTH Q LLC
Doing business as
Queen City Physicians
Practice address
6949 Good Samaritan Drive
Suite 210
Cincinnati, OH 45247
Phone
(513) 931-2400
Fax
(513) 931-0132
NPI assigned
Sep 28, 2010
Organization subpart
Yes
Parent organization
TRIHEALTH PHYSICIANS ENTERPRISE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Pamela Coyle-Toerner
Title
Administrator
Phone
(513) 246-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6949 Good Samaritan Drive
Suite 210
Cincinnati, OH 45247

Mailing address

6949 Good Samaritan Drive
Suite 210
Cincinnati, OH 45247
Phone (513) 931-2400

Other identifiers 1

IdentifierTypeStateIssuer
2637239MedicaidOH

Other names 1

  • Queen City Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trihealthq LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

6949 Good Samaritan Dr
Ste 210
Cincinnati, OH 45247
Phone (513) 862-2692

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1336458165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 GOOD SAMARITAN DRIVE",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "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 DRIVE",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-931-2400",
            "fax_number": "513-931-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIHEALTH Q LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIHEALTH PHYSICIANS ENTERPRISE CORP",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "COYLE-TOERNER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-246-8001"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637239",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen City Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 28, 2010; 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.