Organization Active NPI

Mitchell Ede, MD Inc

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1609008739
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on May 26, 2010

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0613189MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.