Active NPI
Convergence Telemedicine Partners LLC
- Family Medicine Physician
- Blue Ash, OH
National Provider Identifier
1689284259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONVERGENCE TELEMEDICINE PARTNERS LLC
- Practice address
- 4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424 - Phone
- (513) 489-7100
- NPI assigned
- Aug 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Ringo, MD
- Title
- Chief Executive Officer
- Phone
- (786) 698-5000
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Medicine Physician | 207QA0505X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424
Mailing address
4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424
Phone (513) 489-7100
National Provider Directory
National Provider DirectoryLocations
200 Wyant Rd
Akron, OH 44313
Phone (330) 836-7953
2125 Royce St
Portsmouth, OH 45662
Phone (740) 354-6635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1689284259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 ASHWOOD DR STE 200",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452412424",
"telephone_number": "513-489-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 ASHWOOD DR STE 200",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452412424",
"telephone_number": "513-489-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVERGENCE TELEMEDICINE PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "RINGO",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "786-698-5000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.