Organization Active NPI

Cincinnati Breast Surgeons, Inc

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1831224013
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CINCINNATI BREAST SURGEONS, INC
Practice address
4850 Red Bank Rd
Suite 311
Cincinnati, OH 45227-1545
Phone
(513) 221-2544
Fax
(513) 221-1320
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Dianne M Runk, M.D.
Title
Partner
Phone
(513) 221-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4850 Red Bank Rd
Suite 311
Cincinnati, OH 45227-1545

Mailing address

4850 Red Bank Rd
Suite 311
Cincinnati, OH 45227-1545
Phone (513) 221-2544

Other identifiers 2

IdentifierTypeStateIssuer
0213647MedicaidOH
65937633MedicaidKY

Other names 1

  • Donna L Stahl MD, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

4850 Red Bank Rd
Ste 311
Cincinnati, OH 45227
Phone (513) 221-2544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1831224013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 RED BANK RD",
            "address_2": "SUITE 311",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271545",
            "telephone_number": "513-221-2544",
            "fax_number": "513-221-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 RED BANK RD",
            "address_2": "SUITE 311",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271545",
            "telephone_number": "513-221-2544",
            "fax_number": "513-221-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI BREAST SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "RUNK",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "513-221-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213647",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937633",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna L Stahl MD, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 30, 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.