Organization Active NPI

Rehabilitation Electrodiagnostic Medicine Inc

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1679577365
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REHABILITATION ELECTRODIAGNOSTIC MEDICINE INC
Practice address
6200 Pfeiffer Rd
3Rd Floor
Cincinnati, OH 45242-5862
Phone
(513) 985-6793
Fax
(513) 965-8091
NPI assigned
Jun 9, 2005
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
William Walsh, MDNPI 1013911676
Title
President
Phone
(513) 985-6793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

6200 Pfeiffer Rd
3Rd Floor
Cincinnati, OH 45242-5862

Mailing address

PO Box 42461
Cincinnati, OH 45242-0461
Phone (513) 965-8041

Other identifiers 2

IdentifierTypeStateIssuer
0833585MedicaidOH
65923260MedicaidKY

National Provider Directory

National Provider Directory

Locations

100 Arrow Springs Blvd
Ste 2600
Lebanon, OH 45036
Phone (513) 863-8212

6200 Pfeiffer Rd
Ste 3
Montgomery, OH 45242
Phone (513) 891-3373

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1679577365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42461",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452420461",
            "telephone_number": "513-965-8041",
            "fax_number": "513-965-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PFEIFFER RD",
            "address_2": "3RD FLOOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425862",
            "telephone_number": "513-985-6793",
            "fax_number": "513-965-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ELECTRODIAGNOSTIC MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-985-6793",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0833585",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65923260",
            "state": "KY"
        }
    ],
    "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 Feb 25, 2008; 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.