Organization Active NPI

Trihealth Physician Practices, LLC

  • Internal Medicine Physician
  • Lebanon, OH
National Provider Identifier
1881631513
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRIHEALTH PHYSICIAN PRACTICES, LLC
Practice address
100 Arrow Springs Blvd
Suite 2700
Lebanon, OH 45036
Phone
(513) 272-7911
Fax
(513) 282-7900
NPI assigned
Jun 1, 2006
Organization subpart
Yes
Parent organization
TRIHEALTH PHYSICIAN PRACTICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Ms. Donna S Nienaber
Title
Sole Member
Phone
(513) 569-6386

Specialties & licenses 1

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

Addresses

Primary practice location

100 Arrow Springs Blvd
Suite 2700
Lebanon, OH 45036

Mailing address

PO Box 635156
Cincinnati, OH 45263-5156
Phone (513) 272-7911

Other identifiers 1

IdentifierTypeStateIssuer
2550074MedicaidOH

National Provider Directory

National Provider Directory
Part of
Trihealth Physician Practices LLC

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1881631513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635156",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635156",
            "telephone_number": "513-272-7911",
            "fax_number": "513-282-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARROW SPRINGS BLVD",
            "address_2": "SUITE 2700",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "45036",
            "telephone_number": "513-272-7911",
            "fax_number": "513-282-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIHEALTH PHYSICIAN PRACTICES, LLC",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "NIENABER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "513-569-6386",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.