Geriatric Practice LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

35D68907 Issued in OH

Legal business name

GERIATRIC PRACTICE LLC

Practice address

839 Cherry St
Blanchester, OH 45107-1315

Phone

(513) 432-8735

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ravinder S Mann, MDNPI 1992797146

Title

Owner

Phone

(513) 432-8735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• Ravinder S Mann, MD

  • Geriatric Psychiatry Physician
  • Cincinnati, OH
  • NPI 1992797146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1376842815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9986 BOLINGBROKE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413677",
            "telephone_number": "513-432-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CHERRY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071315",
            "telephone_number": "513-432-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-432-8735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35D68907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shylynn Flint
• Renee Pamela Gadzinski
• Tina Marie Gadzinski
• Jessica Gallimore, PTA
• Genesis Rehab
• Melissa Girard, PA-C
• Pamela Glorius
• Joann Louise Gregory, LPN
• Stephanie Ann Greis, OTR/L
• Joseph Gordon Gundler, D.D.S.

• Geriatric Psychiatry Physician in Blanchester, OH
• Providers in Blanchester, OH by specialty
• Geriatric Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.