Organization Active NPI

Deborah a. Fritz, M.D. LLC

  • Medical Specialty Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1699140525
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35049127 Issued in OH
Legal business name
DEBORAH A. FRITZ, M.D. LLC
Practice address
10550 Montgomery Rd Ste 23
Cincinnati, OH 45242-4422
Phone
(513) 984-3313
Fax
(513) 984-4698
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Deborah Anne Fritz, M.D.NPI 1568427474
Title
President
Phone
(513) 984-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35049127 OH Primary

Addresses

Primary practice location

10550 Montgomery Rd Ste 23
Cincinnati, OH 45242-4422

Mailing address

10550 Montgomery Rd Ste 23
Cincinnati, OH 45242-4422
Phone (513) 984-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120000691 OH Part B Supplier - Clinic/Group Practice 9436452703 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, OH

National Provider Directory

National Provider Directory

Locations

10550 Montgomery Rd
Ste 23
Montgomery, OH 45242
Phone (513) 961-6500

Practitioners & affiliated clinicians

Practitioners 1

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1699140525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 MONTGOMERY RD STE 23",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424422",
            "telephone_number": "513-984-3313",
            "fax_number": "513-984-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 MONTGOMERY RD STE 23",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424422",
            "telephone_number": "513-984-3313",
            "fax_number": "513-984-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A. FRITZ, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-984-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35049127",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.