Organization Active NPI

Richard a. Devore, LLC

  • Otolaryngology Physician
  • Cincinnati, OH
National Provider Identifier
1417057647
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
RICHARD A. DEVORE, LLC
Practice address
8221 Cornell Rd
Ste 410
Cincinnati, OH 45249-2235
Phone
(513) 791-6757
Fax
(513) 792-8035
NPI assigned
Sep 25, 2006
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Richard A Devore, MD
Title
Owner
Phone
(513) 791-6757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

8221 Cornell Rd
Ste 410
Cincinnati, OH 45249-2235

Mailing address

PO Box 632603
Cincinnati, OH 45263-0027
Phone (513) 891-2813

Other identifiers 1

IdentifierTypeStateIssuer
2958161MedicaidOH

National Provider Directory

National Provider Directory

Locations

8221 Cornell Rd
Ste 410
Cincinnati, OH 45249
Phone (513) 791-6757

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1417057647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632603",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630027",
            "telephone_number": "513-891-2813",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 CORNELL RD",
            "address_2": "STE 410",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492235",
            "telephone_number": "513-791-6757",
            "fax_number": "513-792-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. DEVORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-791-6757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958161",
            "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 Sep 21, 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.

Verify at the official NPI Registry.