Active NPI
Mercy Health Physicians Cincinnati LLC
- Durable Medical Equipment & Medical Supplies
- Cincinnati, OH
National Provider Identifier
1629520713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MERCY HEALTH PHYSICIANS CINCINNATI LLC
- Doing business as
- Mercy Health - CSMOC, Western Hills
- Practice address
- 6045 Bridgetown Rd
Suite 4
Cincinnati, OH 45248-3049 - Phone
- (513) 347-9999
- Fax
- (513) 346-7299
- NPI assigned
- Oct 25, 2016
- 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
- Erin R Fries
- Title
- Cmo, Medical Group
- Phone
- (513) 952-5045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6045 Bridgetown Rd
Suite 4
Cincinnati, OH 45248-3049
Mailing address
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Phone (513) 347-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270942 | Medicaid | OH |
Other names 1
- Mercy Health - CSMOC, Western Hills
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591142400000",
"number": "1629520713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 MERCY HEALTH PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452376147",
"telephone_number": "513-347-9999",
"fax_number": "513-346-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 BRIDGETOWN RD",
"address_2": "SUITE 4",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452483049",
"telephone_number": "513-347-9999",
"fax_number": "513-346-7299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-25",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A",
"authorized_official_last_name": "FRIES",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CMO, MEDICAL GROUP",
"authorized_official_telephone_number": "513-952-5045"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0270942",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Health - CSMOC, Western Hills",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercy Health - CSMOC, Western Hills",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
- Mercy Health Partners
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati LLC
- Mercy Health Physicians Cincinnati Specialty Care LLC
- Mercy Health Physicians Cincinnati Specialty Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.