Active NPI
Trihealth Physician Practices, LLC
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1679520993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRIHEALTH PHYSICIAN PRACTICES, LLC
- Practice address
- 11029 Montgomery Rd
Cincinnati, OH 45249-2306 - Phone
- (513) 891-2211
- Fax
- (513) 891-2218
- NPI assigned
- May 30, 2006
- Organization subpart
- Yes
- Parent organization
- TRIHEALTH PHYSICIAN PRACTICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Donna S Nienaber
- Title
- Sole Member
- Phone
- (513) 862-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
11029 Montgomery Rd
Cincinnati, OH 45249-2306
Mailing address
PO Box 637676
Cincinnati, OH 45263-5156
Phone (513) 891-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2577055 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Trihealth Physician Practices LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1679520993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637676",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635156",
"telephone_number": "513-891-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11029 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492306",
"telephone_number": "513-891-2211",
"fax_number": "513-891-2218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
"enumeration_date": "2006-05-30",
"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": "SOLE MEMBER",
"authorized_official_telephone_number": "513-862-1400",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2577055",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}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.