Individual provider Active NPI

Kenneth Eugene Palmer, MD

  • Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1831183557
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35033607P Issued in OH
Practice address
2123 Auburn Ave
Suite 724
Cincinnati, OH 45219-2906
Phone
(513) 241-4774
Fax
(513) 241-1682
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 35033607P OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Suite 724
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Suite 724
Cincinnati, OH 45219-2906
Phone (513) 241-4774

Other identifiers 1

IdentifierTypeStateIssuer
0178338MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35033607POHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Obstetrics & Gynecologic Assoc Inc CurrentSince Jan 1, 1994 Accepting new patients
Christ Hospital Medical Specialists LLC PastSince Sep 1, 2024 Accepting new patients

Locations

2123 Auburn Ave
#724
Cincinnati, OH 45219
Phone (513) 241-4774

2123 Auburn Ave
Ste 724
Cincinnati, OH 45219
Phone (513) 241-4774

608 Reading Rd
Ste A
Mason, OH 45040
Phone (513) 398-6230

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1831183557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 724",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-4774",
            "fax_number": "513-241-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 724",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-4774",
            "fax_number": "513-241-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35033607P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2010; 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.