Active NPI
Trihealth Q, LLC
- Pediatrics Physician
- Harrison, OH
National Provider Identifier
1629083175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TRIHEALTH Q, LLC
- Practice address
- 10450 New Haven Rd
Harrison, OH 45030-2780 - Phone
- (513) 202-1113
- Fax
- (513) 202-1106
- NPI assigned
- Jul 30, 2006
- Organization subpart
- Yes
- Parent organization
- TRIHEALTH PHYSICIANS ENTERPRISE CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Coyle-Toerner
- Title
- Ceo
- Phone
- (513) 871-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
10450 New Haven Rd
Harrison, OH 45030-2780
Mailing address
10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 202-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2623183 | Medicaid | OH |
Other names 1
- Queen City Physicians
National Provider Directory
National Provider Directory- Tax ID family
- Trihealthq LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1629083175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 NEW HAVEN RD",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302780",
"telephone_number": "513-202-1113",
"fax_number": "513-202-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 NEW HAVEN RD",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302780",
"telephone_number": "513-202-1113",
"fax_number": "513-202-1106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIHEALTH Q, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIHEALTH PHYSICIANS ENTERPRISE CORP",
"enumeration_date": "2006-07-30",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "COYLE-TOERNER",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "513-871-3444"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623183",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Queen City Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.