NPIMap

Organization Active NPI

E Cincinnati Inter Med

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1871773895
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
E CINCINNATI INTER MED
Practice address
4044 McLean Dr
Cincinnati, OH 45255-3323
Phone
(513) 528-3300
Fax
(513) 528-9023
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Edward J Severyn, MDNPI 1205944741
Title
Owner
Phone
(513) 528-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OH Primary

Addresses

Primary practice location

4044 McLean Dr
Cincinnati, OH 45255-3323

Mailing address

PO Box 54822
Cincinnati, OH 45254-0822
Phone (513) 528-3300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1871773895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54822",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452540822",
            "telephone_number": "513-528-3300",
            "fax_number": "513-528-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 MCLEAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553323",
            "telephone_number": "513-528-3300",
            "fax_number": "513-528-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E CINCINNATI INTER MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SEVERYN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-528-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 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.