NPIMap

Organization Active NPI

Mercy Health Physicians Cincinnati LLC

Doing business as Mercy Health - Pain Medicine, West

  • Pain Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1487037156
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MERCY HEALTH PHYSICIANS CINCINNATI LLC
Doing business as
Mercy Health - Pain Medicine, West
Practice address
3301 Mercy Health Blvd
445
Cincinnati, OH 45211-1105
Phone
(513) 981-4444
Fax
(513) 853-4095
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Randall Curnow, MD
Title
President Medical Affairs
Phone
(513) 981-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3301 Mercy Health Blvd
445
Cincinnati, OH 45211-1105

Mailing address

3301 Mercy Health Blvd
445
Cincinnati, OH 45211-1105
Phone (513) 981-4444

Other identifiers 1

IdentifierTypeStateIssuer
0270942MedicaidOH

Other names 1

  • Mercy Health - Pain Medicine, West Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2331336Mercy Health - West Internal Medicine3301 Mercy Health Blvd, Suite 280, Cincinnati, OH 45211Provider-performed microscopySep 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Ctr Mason4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3301 Mercy Health Blvd
Ste 445
Cincinnati, OH 45211
Phone (513) 215-9075

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1487037156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "445",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111105",
            "telephone_number": "513-981-4444",
            "fax_number": "513-853-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MERCY HEALTH BLVD",
            "address_2": "445",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111105",
            "telephone_number": "513-981-4444",
            "fax_number": "513-853-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "CURNOW",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "513-981-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health - Pain Medicine, West",
            "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 Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.