Phoenix MD Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PHOENIX MD INC.

Doing business as

Phoenix MD

Practice address

8150 Corporate Park Dr Ste 200
Cincinnati, OH 45242-3360

Phone

(888) 926-6398

Fax

(888) 702-0459

NPI assigned

May 6, 2025

Organization subpart

No

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

Authorized official

Name

Clint Cornell

Title

President

Phone

(513) 802-6551

Specialties & licenses 2

Addresses

Other names 1

• Phoenix MD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Johns

  • Physician Assistant
  • Cincinnati, OH
  • NPI 1134712086
  NPD
• Imran T Minhas, MD

  • Family Medicine Physician
  • Spencer, WV
  • NPI 1942288402
  NPD

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1487444212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KIPP DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554510",
            "telephone_number": "513-802-6551",
            "fax_number": "513-802-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 CORPORATE PARK DR STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423360",
            "telephone_number": "888-926-6398",
            "fax_number": "888-702-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-802-6551"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhea Phipps, RN
• Sarah Elizabeth Phipps, LPN
• Phoenix a H Home Health Care LLC
• Phoenix Group Home, LLC
• Phoenix Help LLC
• Raymond Phoenix
• Waverly Phoenix
• Kimberly Phong
• Jason Vinh Phu, DPT, PT
• Phuongloan Vo

• Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.