Active NPI
Trihealth Physician Institute
- Gynecologic Oncology Physician
- Cincinnati, OH
National Provider Identifier
1629181763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- TRIHEALTH PHYSICIAN INSTITUTE
- Practice address
- 3219 Clifton Ave
Suite 100
Cincinnati, OH 45220-3027 - Phone
- (513) 862-1888
- Fax
- (513) 862-3616
- NPI assigned
- Aug 15, 2006
- Organization subpart
- Yes
- Parent organization
- TRIHEALTH PHYSICIAN INSTITUTE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna S Nienaber
- Title
- Corporate Secretary/Board Member
- Phone
- (513) 862-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
3219 Clifton Ave
Suite 100
Cincinnati, OH 45220-3027
Mailing address
PO Box 635063
Cincinnati, OH 45263-5063
Phone (513) 569-5027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2473292 | Medicaid | OH |
Other names 1
- TriState Gynecologic Oncology
National Provider Directory
National Provider Directory- Part of
- Uhc Geriatric Psychiatr
Locations
6350 Glenway Ave
Ste 201
Cincinnati, OH 45211
Phone (513) 662-8507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1629181763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635063",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635063",
"telephone_number": "513-569-5027",
"fax_number": "513-569-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203027",
"telephone_number": "513-862-1888",
"fax_number": "513-862-3616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIHEALTH PHYSICIAN INSTITUTE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIHEALTH PHYSICIAN INSTITUTE",
"enumeration_date": "2006-08-15",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "NIENABER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CORPORATE SECRETARY/BOARD MEMBER",
"authorized_official_telephone_number": "513-862-1400"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2473292",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TriState Gynecologic Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.