Cincinnati Health Care Group PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27527 Issued in KY

Legal business name

CINCINNATI HEALTH CARE GROUP PSC

Practice address

525 Alexandria Pike
Suite 300
Southgate, KY 41071-3290

Phone

(859) 957-1080

NPI assigned

Jul 9, 2006

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CINCINNATI HEALTHCARE GROUP PSCAs reported in NPPES

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

Authorized official

Name

Mr. Ken Folz

Title

Chief Operating Officer

Phone

(859) 957-1080

Specialties & licenses 1

Addresses

Other identifiers 4

Part of

Cincinnati Healthcare G

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1801829130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 THOMAS MORE PKWY",
            "address_2": "SUITE 200",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ALEXANDRIA PIKE",
            "address_2": "SUITE 300",
            "city": "SOUTHGATE",
            "state": "KY",
            "postal_code": "410713290",
            "telephone_number": "859-957-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI HEALTH CARE GROUP PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CINCINNATI HEALTHCARE GROUP PSC",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "FOLZ",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "859-957-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "27527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2174",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2176",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2178",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2181",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Beard, PHARMD
• Theresa M Bedinghaus
• Joan O Bovard, APRN FNP-BC
• Allyson Bridewell, PA-C
• Danilo Joson Calderon, M.D.
• Penne Clos
• Alexandra Rene Daniels, MA, BCBA, LBA, COBA
• DRS Cullen & Kreilein, PSC, Inc.
• Ronald Lee Durrett, CPO
• Dva Renal Healthcare Inc (South Hill Dialysis)

• Internal Medicine Physician in Southgate, KY
• Providers in Southgate, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.