Individual provider Active NPI

Deborah Rae Pillow, MD

  • Family Medicine Physician
  • Addyston, OH
National Provider Identifier
1760480107
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57335 Issued in OH
Practice address
16 E Main St
Ste 100
Addyston, OH 45001-2519
Phone
(513) 941-8300
Fax
(513) 941-8340
NPI assigned
Jul 11, 2005
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57335 OH Primary

Addresses

Primary practice location

16 E Main St
Ste 100
Addyston, OH 45001-2519

Mailing address

16 E Main St
Ste 100
Addyston, OH 45001-2519
Phone (513) 941-8300

Other identifiers 1

IdentifierTypeStateIssuer
0779895MedicaidOH

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

LicenseStateTypeSpecialty
57335OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1760480107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E MAIN ST",
            "address_2": "STE 100",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "450012519",
            "telephone_number": "513-941-8300",
            "fax_number": "513-941-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E MAIN ST",
            "address_2": "STE 100",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "450012519",
            "telephone_number": "513-941-8300",
            "fax_number": "513-941-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "DEBORAH",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0779895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addyston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.