Indian Creek Family Health Ross LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INDIAN CREEK FAMILY HEALTH ROSS LLC

Practice address

2449 Ross Millville Rd
Hamilton, OH 45013

Phone

(513) 523-2340

Fax

(513) 523-5080

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Julie Broering, M.D.

Title

Partner

Phone

(513) 523-5080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1679779821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "address_2": "P O BOX 700",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-523-2340",
            "fax_number": "513-523-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 ROSS MILLVILLE RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-523-2340",
            "fax_number": "513-523-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN CREEK FAMILY HEALTH ROSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "BROERING",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "513-523-5080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.