Individual provider Active NPI

Lisa L Vickers, M.D.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1659372050
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
64003 Issued in OH
Practice address
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone
(513) 981-6784
Fax
(513) 232-2522
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 64003 OH Primary

Addresses

Primary practice location

7575 5 Mile Rd
Cincinnati, OH 45230-4346

Mailing address

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 981-6784

Other practice location 1

8311 Montgomery Road
Cincinnati, OH 45236-2227
Phone (513) 985-3700

Other identifiers 1

IdentifierTypeStateIssuer
382018MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000485 OH Practitioner - Orthopedic Surgery 5092743559 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64003OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1659372050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-981-6784",
            "fax_number": "513-232-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-981-6784",
            "fax_number": "513-232-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8311 Montgomery Road",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362227",
            "country_code": "US",
            "telephone_number": "513-985-3700",
            "fax_number": "513-985-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "64003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.