Active NPI
Stuart H Anness, MD
- Ophthalmology Physician
- Cincinnati, OH
National Provider Identifier
1770543969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35-04-3787
- Practice address
- 3267 Westbourne Dr
Cincinnati, OH 45248-5130 - Phone
- (513) 662-2280
- Fax
- (513) 662-4730
- NPI assigned
- Mar 23, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35-04-3787 | OH | Primary |
Addresses
Primary practice location
3267 Westbourne Dr
Cincinnati, OH 45248-5130
Mailing address
1945 Cei Drive
Cincinnati, OH 45242
Phone (513) 569-3741
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64027915 | Medicaid | KY | |
| 200200800 | Medicaid | IN | |
| 000000021168 | Other | OH | ANTHEM |
| 180035422 | Other | OH | RAILROAD MEDICARE |
| 0546305 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1770543969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 CEI DRIVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-569-3741",
"fax_number": "513-569-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3267 WESTBOURNE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452485130",
"telephone_number": "513-662-2280",
"fax_number": "513-662-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNESS",
"first_name": "STUART",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35-04-3787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64027915",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200200800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000021168",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180035422",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0546305",
"state": "OH"
}
],
"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 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.