Individual provider Active NPI

Tracy Sawyer-Nash, M.D.

  • Emergency Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1780630269
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
094014 Issued in OH
Practice address
3802 Paxton Ave Ste 1
Cincinnati, OH 45209-2399
Phone
(513) 559-9700
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 094014 OH Primary

Addresses

Primary practice location

3802 Paxton Ave Ste 1
Cincinnati, OH 45209-2399

Mailing address

6202 Spyglassridge Dr
Cincinnati, OH 45230-3773
Phone (410) 474-7873

Other identifiers 1

IdentifierTypeStateIssuer
405453900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000002 OH Practitioner - Emergency Medicine 5597738385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
094014OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Jul 9, 2024 Accepting new patients
Joseph S. Fastow, M.D., P.a. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hospital Physician Services, LLLP Past Accepting new patients

Locations

3802 Paxton Ave
Ste 1
Cincinnati, OH 45209
Phone (513) 559-9700

3802 Paxton Ave
#1
Cincinnati, OH 45209
Phone (513) 559-9700

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

846 State Route 28
Milford, OH 45150
Phone (513) 831-8555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1780630269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 SPYGLASSRIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452303773",
            "telephone_number": "410-474-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PAXTON AVE STE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092399",
            "telephone_number": "513-559-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER-NASH",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "094014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405453900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.