Organization Active NPI

Mercy Health Physicians Cincinnati LLC

  • Durable Medical Equipment & Medical Supplies
  • Cincinnati, OH
National Provider Identifier
1629520713
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0270942MedicaidOH

Other names 1

  • Mercy Health - CSMOC, Western Hills Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.