NPIMap

Organization Active NPI

Alliance Primary Care

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1508038613
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLIANCE PRIMARY CARE
Practice address
4750 E Galbraith Rd
Suite 206
Cincinnati, OH 45236-6705
Phone
(513) 686-4800
Fax
(513) 686-4810
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4750 E Galbraith Rd
Suite 206
Cincinnati, OH 45236-6705

Mailing address

3200 Burnet Ave
1 Ridgeway
Cincinnati, OH 45229-3019
Phone (513) 585-9009

Other identifiers 1

IdentifierTypeStateIssuer
2141355MedicaidOH

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1508038613",
    "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": "513-585-9009",
            "fax_number": "513-585-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD",
            "address_2": "SUITE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366705",
            "telephone_number": "513-686-4800",
            "fax_number": "513-686-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141355",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 28, 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.