Blue Ash Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLUE ASH INTERNAL MEDICINE, LLC

Practice address

4260 Glendale Milford Road
Suite 101
Cincinnati, OH 45242

Phone

(513) 745-9993

Fax

(513) 745-9269

NPI assigned

Feb 27, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay E Rissover, MDNPI 1639140890

Title

President

Phone

(513) 745-9993

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay E Rissover, MD

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1639140890
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1659347029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD ROAD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-745-9993",
            "fax_number": "513-745-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD ROAD",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-745-9993",
            "fax_number": "513-745-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ASH INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "RISSOVER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-745-9993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha L. Blount, CNP
• Paul A Bloustein, MD
• Blue Ash Care Center LLC
• Blue Ash Endoscopy Center, LLC
• Blue Ash Health & Rehab LLC
• Blue Ash Oral and Maxillofacial Surgery, Inc
• Blue Chrysalis Counseling LLC
• Blue Cocoon
• Blue Diamond Health Care LLC
• Blue Diamond Health Care LLC

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• 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.