Organization Active NPI

Colerain Urgent Care LLC

  • Urgent Care Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1770732125
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COLERAIN URGENT CARE LLC
Practice address
3645 Stonecreek Blvd
Suite D
Cincinnati, OH 45251-1468
Phone
(513) 377-7860
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Bashar Brijawi, MD
Title
Medical Director
Phone
(513) 377-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OH Primary

Addresses

Primary practice location

3645 Stonecreek Blvd
Suite D
Cincinnati, OH 45251-1468

Mailing address

3645 Stonecreek Blvd
Suite D
Cincinnati, OH 45251-1468
Phone (513) 377-7860

Other identifiers 1

IdentifierTypeStateIssuer
2873618MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1093158Mercy Health Urgent Care - Colerain3645 Stonecreek Blvd Unit D, Colerain TWP, OH 45251Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

5002 Ridge Ave
#9
Cincinnati, OH 45209
Phone (513) 223-5444

3645 Stone Creek Blvd
Unit D
Cincinnati, OH 45251
Phone (513) 429-4903

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21283/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1770732125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD",
            "address_2": "SUITE D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511468",
            "telephone_number": "513-377-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD",
            "address_2": "SUITE D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511468",
            "telephone_number": "513-377-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLERAIN URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "BRIJAWI",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-377-7860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2873618",
            "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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.