Healthsource of Ohio, Inc.
Organization Active NPI Clinic/Center · Cincinnati, OH
NPI 1659611424 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1659611424
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- HEALTHSOURCE OF OHIO, INC.
- Practice address
- 6131 Campus LN
Cincinnati, OH 45230-1601 - Phone
- (513) 732-5088
- Fax
- (513) 231-2620
- NPI assigned
- Feb 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Joseph W Prather II, MD
- Title
- Ceo
- Phone
- (513) 707-4041
Other NPIs on the same Medicare enrollment 20
Corporate family (same tax ID) 44
Practitioners 6
-
Clifford John Steinle III, D.D.S.
-
Teresa L Wright, PA-C
-
Amy K Van Milligan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140521002611 | OH | Part B Supplier - Clinic/Group Practice | 2264328749 |
Receives reassigned benefits from 78 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hillsboro, OH; Lebanon, OH; Loveland, OH; Mount Orab, OH; New Richmond, OH; Seaman, OH; Washington Court House, OH; Williamsburg, OH… |
National Provider Directory
- Tax ID family
- West Union Family Healt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
6131 Campus LN
Cincinnati, OH 45230-1601
Mailing address
424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109532 | Medicaid | OH |
Other names
- HealthSource: Mt. Washington
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.