NPIMap

Organization Active NPI

Geriatric Providers Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1407918279
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35038994 Issued in OH
Legal business name
GERIATRIC PROVIDERS INC.
Practice address
9200 Montgomery Road
Suite 3a
Cincinnati, OH 45243
Phone
(513) 984-2300
Fax
(513) 984-2353
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Mrs. Marie Buddhdev
Title
Office Manager
Phone
(513) 317-4949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35038994 OH Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 17701 KY

Addresses

Primary practice location

9200 Montgomery Road
Suite 3a
Cincinnati, OH 45243

Mailing address

6500 Shawneeridge Lane
Cincinnati, OH 45243
Phone (513) 984-2300

Other identifiers 3

IdentifierTypeStateIssuer
64863194OtherKYKENTUCKY MEDICAID
1896401OtherKYKENTUCKY MEDICARE
0302603MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1407918279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SHAWNEERIDGE LANE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45243",
            "telephone_number": "513-984-2300",
            "fax_number": "513-984-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY ROAD",
            "address_2": "SUITE 3A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45243",
            "telephone_number": "513-984-2300",
            "fax_number": "513-984-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PROVIDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "BUDDHDEV",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-317-4949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35038994",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "17701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "64863194",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICARE",
            "identifier": "1896401",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302603",
            "state": "OH"
        }
    ],
    "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 Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.