Trihealth Physician Practices LLC

Key facts

NPI: 1689928889
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: TRIHEALTH PHYSICIAN PRACTICES LLC
Practice address: 6139 Glenway Ave
Cincinnati, OH 45211-6312
Phone: (513) 569-6380
Fax: (513) 569-6320
NPI assigned: Nov 9, 2012
Organization subpart: No

Authorized official

Name: Donna S Nienaber
Title: Senior Vice President, Corp Counsel
Phone: (513) 569-6062

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

6139 Glenway Ave
Cincinnati, OH 45211-6312

Mailing address

619 Oak St
Cincinnati, OH 45206-1613
Phone (513) 569-6380

Other identifiers

Identifier	Type	State	Issuer
0078523	Medicaid	OH

Other names

TriHealth Priority Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2013.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1689928889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 OAK ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061613",
            "telephone_number": "513-569-6380",
            "fax_number": "513-569-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6139 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116312",
            "telephone_number": "513-569-6380",
            "fax_number": "513-569-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIHEALTH PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "NIENABER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CORP COUNSEL",
        "authorized_official_telephone_number": "513-569-6062"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriHealth Priority Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Family Medicine Physician in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.