Active NPI
Mitchell Ede, MD Inc
- Dermatology Physician
- Cincinnati, OH
National Provider Identifier
1609008739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MITCHELL EDE, MD INC
- Practice address
- 441 Vine St
Carew Tower 1005
Cincinnati, OH 45202-2821 - Phone
- (513) 621-5188
- Fax
- (513) 621-6354
- NPI assigned
- Aug 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitchell Ede, MD
- Title
- President/Physician
- Phone
- (513) 621-5188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
441 Vine St
Carew Tower 1005
Cincinnati, OH 45202-2821
Mailing address
441 Vine St
Carew Tower 1005
Cincinnati, OH 45202-2821
Phone (513) 621-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0613189 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
441 Vine St
Ste 1005
Cincinnati, OH 45202
Phone (513) 621-5188
441 Vine St
Ste 10
Cincinnati, OH 45202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274832000000",
"number": "1609008739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 VINE ST",
"address_2": "CAREW TOWER 1005",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452022821",
"telephone_number": "513-621-5188",
"fax_number": "513-621-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 VINE ST",
"address_2": "CAREW TOWER 1005",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452022821",
"telephone_number": "513-621-5188",
"fax_number": "513-621-6354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL EDE, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-24",
"last_updated": "2010-05-26",
"status": "A",
"authorized_official_last_name": "EDE",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "513-621-5188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0613189",
"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 May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.