Active NPI
Cincinnati Healthcare Group PSC, Dba Patient First Physicians Group
- Family Medicine Physician
- Walton, KY
National Provider Identifier
1407874282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22966
- Legal business name
- CINCINNATI HEALTHCARE GROUP PSC, DBA PATIENT FIRST PHYSICIANS GROUP
- Practice address
- 13260 Service Rd
Walton, KY 41094-9565 - Phone
- (859) 485-4116
- NPI assigned
- Jul 18, 2006
- Last updated
- Apr 13, 2009
- Organization subpart
- Yes
- Parent organization
- CINCINNATI HEALTHCARE GROUP PSC, DBA PATIENT FIRST PHYSICIANS GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ken Folz
- Title
- Chief Operating Officer
- Phone
- (859) 957-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22966 | KY | Primary |
Addresses
Primary practice location
13260 Service Rd
Walton, KY 41094-9565
Mailing address
334 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-3464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD2174 | Other | KY | RAILROAD MEDICARE |
| CD2181 | Other | KY | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Part of
- Cincinnati Healthcare G
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Nurse Practitioner
- Crestview Hills, KY
- NPI 1356408439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1407874282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 THOMAS MORE PKWY",
"address_2": "SUITE 200",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13260 SERVICE RD",
"city": "WALTON",
"state": "KY",
"postal_code": "410949565",
"telephone_number": "859-485-4116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CINCINNATI HEALTHCARE GROUP PSC, DBA PATIENT FIRST PHYSICIANS GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CINCINNATI HEALTHCARE GROUP PSC, DBA PATIENT FIRST PHYSICIANS GROUP",
"enumeration_date": "2006-07-18",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "FOLZ",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "859-957-1080",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "22966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD2174",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD2181",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.