NPIMap

Organization Active NPI

Mercy Health Physicians Cincinnati LLC

  • Durable Medical Equipment & Medical Supplies
  • Cincinnati, OH
National Provider Identifier
1750715587
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY HEALTH PHYSICIANS CINCINNATI LLC
Practice address
4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245-1318
Phone
(513) 753-7488
Fax
(513) 753-7879
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Erin R Fries
Title
Cmo, Medical Group
Phone
(513) 952-5045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OH Primary

Addresses

Primary practice location

4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245-1318

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Other identifiers 1

IdentifierTypeStateIssuer
0270942MedicaidOH

Other names 1

  • MERCY HEALTH WELLINGTON ORTHOPAEDICS, EASTGATE Other name

National Provider Directory

National Provider Directory

Locations

4440 Glen Este Withamsville Rd
Ste 500
Cincinnati, OH 45245
Phone (513) 753-7488

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1750715587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
            "address_2": "STE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451318",
            "telephone_number": "513-753-7488",
            "fax_number": "513-753-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CMO, MEDICAL GROUP",
        "authorized_official_telephone_number": "513-952-5045"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH WELLINGTON ORTHOPAEDICS, EASTGATE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MERCY HEALTH WELLINGTON ORTHOPAEDICS, EASTGATE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 4, 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.

Verify at the official NPI Registry.