Organization Active NPI

Trihealth Q, LLC

  • Pediatrics Physician
  • Harrison, OH
National Provider Identifier
1629083175
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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 CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2623183MedicaidOH

Other names 1

  • Queen City Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trihealthq LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.