NPIMap

Organization Active NPI

McCullough-Hyde Memorial Hospital, Inc.

Doing business as Pinnacle Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Oxford, OH
National Provider Identifier
1831525500
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.
Doing business as
Pinnacle Orthopedics & Sports Medicine
Practice address
5151 Morning Sun Rd Ste a
Pinnacle Orthopaedics & Sports Medicine
Oxford, OH 45056-9546
Phone
(513) 524-1100
NPI assigned
Sep 25, 2013
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Mr. Bryan D. Hehemann, FACHE, CEO
Title
President & Ceo
Phone
(513) 524-5501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X

Addresses

Primary practice location

5151 Morning Sun Rd Ste a
Pinnacle Orthopaedics & Sports Medicine
Oxford, OH 45056-9546

Mailing address

110 N Poplar St
Pinnacle Orthopaedics & Sports Medicine
Oxford, OH 45056-1204
Phone (513) 523-2111

Other names 1

  • Pinnacle Orthopedics & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000862 OH Part B Supplier - Clinic/Group Practice 8527965664 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hamilton, OH; Oxford, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oxford Emergency Phys I7 organizations share this tax ID, including this one
Part of
Oxford Emergency Phys I

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1831525500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "address_2": "PINNACLE ORTHOPAEDICS & SPORTS MEDICINE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-523-2111",
            "fax_number": "513-524-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MORNING SUN RD STE A",
            "address_2": "PINNACLE ORTHOPAEDICS & SPORTS MEDICINE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569546",
            "telephone_number": "513-524-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2013-09-25",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "HEHEMANN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "513-524-5501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE, CEO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.