Organization Active NPI

Julia Kissel MD Inc.

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1790013100
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35.073799 Issued in OH
Legal business name
JULIA KISSEL MD INC.
Practice address
4555 Lake Forest Dr
Ste 580
Cincinnati, OH 45242-3785
Phone
(877) 246-5131
Fax
(877) 246-5132
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Julia Kissel, M.D.
Title
Director
Phone
(877) 246-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35.073799 OH Primary

Addresses

Primary practice location

4555 Lake Forest Dr
Ste 580
Cincinnati, OH 45242-3785

Mailing address

4555 Lake Forest Dr
Ste 580
Cincinnati, OH 45242-3785
Phone (877) 246-5131

Other names 1

  • BodyLogicMD of Cincinnati Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1790013100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "address_2": "STE 580",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "877-246-5131",
            "fax_number": "877-246-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "address_2": "STE 580",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "877-246-5131",
            "fax_number": "877-246-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA KISSEL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "KISSEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-246-5131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.073799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Cincinnati",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2009; 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.