NPIMap

Organization Active NPI

Mercy Health Physicians Cincinnati Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Blue Ash, OH
National Provider Identifier
1417629098
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC
Practice address
4701 Creek Rd Ste 110
Blue Ash, OH 45242-8330
Phone
(513) 554-8080
Fax
(513) 554-8082
NPI assigned
Oct 1, 2021
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Joseph Shane Hardy
Title
VP Finance
Phone
(513) 554-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4701 Creek Rd Ste 110
Blue Ash, OH 45242-8330

Mailing address

PO Box 631330
Cincinnati, OH 45263-1330
Phone (888) 696-3541

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Phys Care LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1417629098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631330",
            "telephone_number": "888-696-3541",
            "fax_number": "513-952-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CREEK RD STE 110",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428330",
            "telephone_number": "513-554-8080",
            "fax_number": "513-554-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "513-554-8080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.