NPIMap

Organization Active NPI

Bethesda Hospital Inc

Doing business as Bethesda OB Gyn Center

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1467592113
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BETHESDA HOSPITAL INC
Doing business as
Bethesda OB Gyn Center
Practice address
10475 Montgomery Rd
Suite 4G
Cincinnati, OH 45242-5201
Phone
(513) 745-1639
NPI assigned
Feb 8, 2007
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Donna S Nienaber
Title
Board Member
Phone
(513) 569-6386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

10475 Montgomery Rd
Suite 4G
Cincinnati, OH 45242-5201

Mailing address

10475 Montgomery Rd
Suite 4G
Cincinnati, OH 45242-5201
Phone (513) 745-1639

Other identifiers 1

IdentifierTypeStateIssuer
2270635MedicaidOH

Other names 1

  • Bethesda OB Gyn Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000688 OH Part B Supplier - Clinic/Group Practice 3476456997 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montgomery, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Theodore J Waller MD18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1467592113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MONTGOMERY RD",
            "address_2": "SUITE 4G",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425201",
            "telephone_number": "513-745-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MONTGOMERY RD",
            "address_2": "SUITE 4G",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425201",
            "telephone_number": "513-745-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "NIENABER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "513-569-6386"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2270635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda OB Gyn Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.