Active NPI
Larry M. Isaacs, M.D.
- Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.064519
- Practice address
- 4406 Montgomery Rd
Cincinnati, OH 45212 - Phone
- (513) 376-9354
- Fax
- (513) 827-9562
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.064519 | OH | Primary |
Addresses
Primary practice location
4406 Montgomery Rd
Cincinnati, OH 45212
Mailing address
4406 Montgomery Rd
Cincinnati, OH 45212-3116
Phone (513) 376-9354
Other practice location 1
7324 Yankee Rd Ste B
Liberty Twp, OH 45044-9378
Phone (513) 779-7716
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Current | Accepting new patients | |
| Medcentral Professional Foundation, LLC | Surgery | Past | Accepting new patients |
| Carefirst Urgent Care, LLC | Past | Accepting new patients |
Locations
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
5390 Dixie Hwy
Fairfield, OH 45014
Phone (513) 218-2848
7324 Yankee Rd
Ste B
Liberty Township, OH 45044
Phone (513) 779-7716
4406 Montgomery Rd
Norwood, OH 45212
Phone (513) 376-7116
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Facial Plastic Surgery Physician
- Mansfield, OH
- NPI 1841476942
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1013527845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1346227568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123116",
"telephone_number": "513-376-9354",
"fax_number": "513-827-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45212",
"telephone_number": "513-376-9354",
"fax_number": "513-827-9562"
}
],
"practiceLocations": [
{
"address_1": "7324 Yankee Rd Ste B",
"address_purpose": "LOCATION",
"city": "Liberty Twp",
"state": "OH",
"postal_code": "450449378",
"country_code": "US",
"telephone_number": "513-779-7716",
"fax_number": "513-759-7163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAACS",
"first_name": "LARRY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.064519",
"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 Dec 6, 2018; 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.