Individual provider Active NPI

Anthony Quintain Carnell, D.O.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1780941724
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013765 Issued in OH
Practice address
4631 Ridge Ave Ste B
Cincinnati, OH 45209
Phone
(513) 631-1268
Fax
(513) 366-4121
NPI assigned
Apr 16, 2012
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8453 TX
Family Medicine Physician 207Q00000X 34.013765 OH Primary

Addresses

Primary practice location

4631 Ridge Ave Ste B
Cincinnati, OH 45209

Mailing address

4631 Ridge Ave Ste B
Cincinnati, OH 45209-1028
Phone (513) 631-1268

Other practice location 1

3500 W Wheatland Rd
MCMC Family Medicine Residency - Physician Office II
Dallas, TX 75237
Phone (214) 947-5420

Other practice location 2

3500 W Wheatland Rd
MCMC Family Medicine Residency - Physician Office II
Dallas, TX 75237
Phone (214) 947-5420

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
I20190625001975 OH Practitioner - Family Practice 8224267117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

4631 Ridge Ave
Suite B
Cincinnati, OH 45209-1028
Phone (513) 631-1268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P8453TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4631 Ridge Ave
#B
Cincinnati, OH 45209
Phone (513) 631-1268

Interoperability endpoints

  • Direct secure messaging: acarnell650493@direct.bsmhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1780941724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 RIDGE AVE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091028",
            "telephone_number": "513-631-1268",
            "fax_number": "513-366-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 RIDGE AVE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-631-1268",
            "fax_number": "513-366-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 W Wheatland Rd",
            "address_2": "MCMC Family Medicine Residency - Physician Office II",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75237",
            "country_code": "US",
            "telephone_number": "214-947-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 W Wheatland Rd",
            "address_2": "MCMC Family Medicine Residency - Physician Office II",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75237",
            "country_code": "US",
            "telephone_number": "214-947-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNELL",
        "first_name": "ANTHONY",
        "middle_name": "QUINTAIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8453",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.