Primary Care of Cincinnati Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35049726 Issued in OH

Legal business name

PRIMARY CARE OF CINCINNATI INC

Practice address

318 East University Avenue
Cincinnati, OH 45219-2431

Phone

(513) 961-1100

Fax

(513) 961-7156

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Abraham O Osinbowale, MDNPI 1043281686

Title

President

Phone

(513) 961-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abraham O Osinbowale, MD

  • General Practice Physician
  • Cincinnati, OH
  • NPI 1043281686
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669692687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 EAST UNIVERSITY AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192431",
            "telephone_number": "513-961-1100",
            "fax_number": "513-961-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 EAST UNIVERSITY AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192431",
            "telephone_number": "513-961-1100",
            "fax_number": "513-961-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF CINCINNATI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSINBOWALE",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-961-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35049726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquline Nicole Pridemore, MA, LPCC-S
• Candace Priest, RN
• Sarah Maria Priestle, PHARMD
• Inma C Prieto, M.D.
• Ilana Beila Primack, MD
• Primary Care Physicians of Northeast Cincinnati Inc
• Primary Caregivers LLC
• Primecare Mobility Services LLC
• Primecare Transport LLC
• Daniyah Arkell Primus

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.