NPIMap

Organization Active NPI

McCullough-Hyde Memorial Hospital, Inc.

  • Rheumatology Physician
  • Oxford, OH
National Provider Identifier
1386056331
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
1119 Issued in OH
Legal business name
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.
Practice address
110 N Poplar St
McCullough-Hyde Rheumatology
Oxford, OH 45056-1204
Phone
(513) 524-5549
NPI assigned
May 27, 2014
Organization subpart
Yes
Parent organization
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Mr. Bryan D. Hehemann, FACHE
Title
President & Ceo
Phone
(513) 524-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 1119 OH Primary

Addresses

Primary practice location

110 N Poplar St
McCullough-Hyde Rheumatology
Oxford, OH 45056-1204

Mailing address

110 N Poplar St
McCullough-Hyde Rheumatology
Oxford, OH 45056-1204
Phone (513) 524-5549

Other names 1

  • McCullough-Hyde Memorial Hospital Rheumatology Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000862 OH Part B Supplier - Clinic/Group Practice 8527965664 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hamilton, OH; Oxford, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Talawanda Convenient Ca7 organizations share this tax ID, including this one
Part of
Talawanda Convenient Ca

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1386056331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "address_2": "MCCULLOUGH-HYDE RHEUMATOLOGY",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-524-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "address_2": "MCCULLOUGH-HYDE RHEUMATOLOGY",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-524-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "HEHEMANN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "513-524-5501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCullough-Hyde Memorial Hospital Rheumatology Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.