Active NPI
Trihealth Physician Institute
- Vascular Surgery Physician
- Cincinnati, OH
National Provider Identifier
1639296304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- TRIHEALTH PHYSICIAN INSTITUTE
- Practice address
- 375 Dixmyth Ave
5TH Floor Vascular Lab
Cincinnati, OH 45220-2475 - Phone
- (513) 569-6386
- NPI assigned
- Mar 26, 2007
- Organization subpart
- Yes
- Parent organization
- TRIHEALTH PHYSICIAN INSTITUTE
Authorized official
NPPES NPI Registry- Name
- Ms. Donna S Nienaber
- Title
- Sr Vice President
- Phone
- (513) 862-1400
National Provider Directory
National Provider Directory- Part of
- Uhc Geriatric Psychiatr
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
375 Dixmyth Ave
5TH Floor Vascular Lab
Cincinnati, OH 45220-2475
Mailing address
PO Box 631684
Cincinnati, OH 45263-1684
Phone (513) 569-5027
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2404615 | Medicaid | OH |
Other names 1
NPPES NPI Registry- UHC Vascular
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2013.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1639296304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631684",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631684",
"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": "375 DIXMYTH AVE",
"address_2": "5TH FLOOR VASCULAR LAB",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-569-6386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIHEALTH PHYSICIAN INSTITUTE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIHEALTH PHYSICIAN INSTITUTE",
"enumeration_date": "2007-03-26",
"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": "SR VICE PRESIDENT",
"authorized_official_telephone_number": "513-862-1400",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2404615",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UHC Vascular",
"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.