Active NPI
Mercy Health Physicians Cincinnati, LLC
Doing business as Mercy Health Kenwood Ortho & Spine
- Orthopaedic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1801292792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MERCY HEALTH PHYSICIANS CINCINNATI, LLC
- Doing business as
- Mercy Health Kenwood Ortho & Spine
- Practice address
- 4750 E Galbraith Rd Ste 105
Cincinnati, OH 45236-6706 - Phone
- (513) 985-0741
- Fax
- (513) 981-4346
- NPI assigned
- Nov 5, 2014
- Last updated
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin R Fries
- Title
- Cmo, Medical Group
- Phone
- (513) 952-5045
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
4750 E Galbraith Rd Ste 105
Cincinnati, OH 45236-6706
Mailing address
1701 Mercy Health PL
Cincinnati, OH 45237-6147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270942 | Medicaid | OH |
Other names 1
- Mercy Health Kenwood Ortho & Spine
National Provider Directory
National Provider DirectoryLocations
3300 Mercy Health Blvd
Ste 2010
Cincinnati, OH 45211
Phone (513) 686-5392
4777 E Galbraith Rd
Ste 202
Cincinnati, OH 45236
Phone (513) 686-5757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591228800000",
"number": "1801292792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 MERCY HEALTH PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452376147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 E GALBRAITH RD STE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452366706",
"telephone_number": "513-985-0741",
"fax_number": "513-981-4346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-05",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A",
"authorized_official_last_name": "FRIES",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CMO, MEDICAL GROUP",
"authorized_official_telephone_number": "513-952-5045"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0270942",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Health Kenwood Ortho & Spine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
- Mercy Health Physicians Cincinnati Specialty Care LLC
- Mercy Health Physicians Cincinnati Specialty Care, LLC
- Mercy Health Physicians Cincinnati Specialty Care, LLC
- Mercy Health Physicians Cincinnati, LLC (Mercy Health Cardiovascular, Thoracic, Vascular and Endovascular)
- Mercy Health Physicians Cincinnati, LLC
- Mercy Health Physicians Cincinnati, LLC
- Mercy Hospital Fairfield
- Mercy Hospital Western Hills
- Mercy Kenwood Ambulatory Surgery Center LLC
- Mercy Neighborhood Ministries, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.