Organization Active NPI

University of Cincinnati

  • Hematology (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1679672158
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
35-04-6787 Issued in OH
Legal business name
UNIVERSITY OF CINCINNATI
Practice address
3125 Eden Ave. ML 0508
Cincinnati, OH 45267-0508
Phone
(513) 558-2184
Fax
(513) 558-2203
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Gregory W Rouan, M.D.
Title
Chair
Phone
(513) 558-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0000X 35-04-6787 OH Primary

Addresses

Primary practice location

3125 Eden Ave. ML 0508
Cincinnati, OH 45267-0508

Mailing address

3125 Eden Avenue
ML 0562
Cincinnati, OH 45267-0562
Phone (513) 245-3430

Other names 1

  • Unive of Cincinnati Dept Former legal business name

National Provider Directory

National Provider Directory

Locations

3125 Eden Ave
#562
Cincinnati, OH 45219
Phone (513) 558-2184

3125 Eden Ave
#508
Cincinnati, OH 45219
Phone (513) 558-2184

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1679672158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 EDEN AVENUE",
            "address_2": "ML 0562",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670562",
            "telephone_number": "513-245-3430",
            "fax_number": "513-245-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 EDEN AVE. ML 0508",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670508",
            "telephone_number": "513-558-2184",
            "fax_number": "513-558-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "ROUAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "513-558-4231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "OH",
            "license": "35-04-6787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unive of Cincinnati Dept",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 14, 2016; 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.