Active NPI
John Paul Runyon, M.D.
- Cardiovascular Disease Physician
- Cincinnati, OH
National Provider Identifier
1699738476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35053033
- Practice address
- 2123 Auburn Ave
Cincinnati, OH 45219-2906 - Phone
- (513) 721-8881
- Fax
- (513) 287-5805
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35053033 | OH | Primary |
Addresses
Primary practice location
2123 Auburn Ave
Cincinnati, OH 45219-2906
Mailing address
4380 Malsbary Rd
Suite 200
Cincinnati, OH 45242-5644
Phone (513) 366-4488
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000196937 | Other | OH | ANTHEM CLINTON COUNTY |
| 2520384 | Other | UNITED | |
| 000000205152 | Other | OH | ANTHEM CINCINNATI |
| 0744261 | Medicaid | OH | |
| 311438871036 | Other | OH | CARESOURCE |
| 284915 | Other | AMERIGROUP | |
| 64862147 | Medicaid | KY | |
| 53033-08 | Other | HUMANA | |
| 000000196937 | Other | OH | ANTHEM MIDDLETOWN |
| 06550099 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053033 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Diagnostic Services LLC | Cardiovascular Disease | Past | Accepting new patients |
| Ohvc Associates, LLC | Cardiovascular Disease | Past | Accepting new patients |
| The Christ Hospital Cardiovascular Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| Professional Readers Group, Inc | Past | Accepting new patients | |
| University Internal Medicine Associates, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Neurological & Sleep Disorders Inc | Past | Accepting new patients | |
| Ohio Heart and Vascular Center, Inc | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1699738476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 MALSBARY RD",
"address_2": "SUITE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425644",
"telephone_number": "513-366-4488",
"fax_number": "513-366-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-721-8881",
"fax_number": "513-287-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYON",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35053033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM CLINTON COUNTY",
"identifier": "00000196937",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "2520384",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM CINCINNATI",
"identifier": "000000205152",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0744261",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311438871036",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "284915",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64862147",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "53033-08",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MIDDLETOWN",
"identifier": "000000196937",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "06550099",
"state": null
}
],
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.