NPIMap

Organization Active NPI

Alliance Primary Care

  • Surgery Physician
  • Fort Thomas, KY
National Provider Identifier
1457524191
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ALLIANCE PRIMARY CARE
Practice address
40 N Grand Ave
Suite 202
Fort Thomas, KY 41075-4107
Phone
(859) 781-2628
Fax
(859) 572-4403
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
James Larson
Title
Director of Patient Accounting
Phone
(513) 585-9336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

40 N Grand Ave
Suite 202
Fort Thomas, KY 41075-4107

Mailing address

3200 Burnet Ave
1 Ridgeway
Cincinnati, OH 45229-3019
Phone (513) 585-9305

Other identifiers 1

IdentifierTypeStateIssuer
2549657MedicaidKY

Other names 1

  • PREFERRED SURGICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Cincinnati Physicians Company49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1457524191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "address_2": "1 RIDGEWAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019",
            "telephone_number": "513-585-9305",
            "fax_number": "513-585-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE",
            "address_2": "SUITE 202",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754107",
            "telephone_number": "859-781-2628",
            "fax_number": "859-572-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "513-585-9336"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549657",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREFERRED SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.