Active NPI
Marguerite M Blythe
- Geriatric Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1356329478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 35052570
- Legal business name
- MARGUERITE M BLYTHE
- Doing business as
- Practical Psychiatry
- Practice address
- 4903 Vine St
Cincinnati, OH 45217-1252 - Phone
- (513) 421-2900
- Fax
- (513) 345-3045
- NPI assigned
- Jan 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marguerite Maryanna Blythe, MD
- Title
- MD Owner
- Phone
- (513) 421-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 35052570 | OH | Primary |
Addresses
Primary practice location
4903 Vine St
Cincinnati, OH 45217-1252
Mailing address
4903 Vine St
Cincinnati, OH 45217-1252
Phone (513) 421-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0671161 | Medicaid | OH |
Other names 1
- Practical Psychiatry
National Provider Directory
National Provider DirectoryLocations
3904 N Bend Rd
Cincinnati, OH 45211
Phone (513) 481-2201
4903 Vine St
Saint Bernard, OH 45217
Phone (513) 242-7747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304467200000",
"number": "1356329478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452171252",
"telephone_number": "513-421-2900",
"fax_number": "513-345-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452171252",
"telephone_number": "513-421-2900",
"fax_number": "513-345-3045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGUERITE M BLYTHE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2011-05-04",
"status": "A",
"authorized_official_last_name": "BLYTHE",
"authorized_official_first_name": "MARGUERITE",
"authorized_official_middle_name": "MARYANNA",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "513-421-2900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "OH",
"license": "35052570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0671161",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Practical Psychiatry",
"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 May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.