Mercy Health Physicians Cincinnati LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCY HEALTH PHYSICIANS CINCINNATI LLC

Doing business as

Mercy Health-Cincinnati Sports Med & Ortho Ctr, Crestview

Practice address

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488

Phone

(513) 347-9999

Fax

(859) 344-4153

NPI assigned

Sep 23, 2015

Last updated

Jun 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin R Fries, MD

Title

Cmo, Medical Group

Phone

(513) 952-5045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Health-Cincinnati Sports Med & Ortho Ctr, Crestview Doing business as

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1902275654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "513-347-9999",
            "fax_number": "859-344-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS CINCINNATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CMO, MEDICAL GROUP",
        "authorized_official_telephone_number": "513-952-5045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health-Cincinnati Sports Med & Ortho Ctr, Crestview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health-Cincinnati Sports Med & Ortho Ctr, Crestview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry A McDannold, MD
• Brooke McGarry, PSYD
• Jenny McKenzie, O.D.
• Mark Stephen Meier, MD
• Mental Harmony LLC (Ellie Mental Health)
• Mercy Health Physicians Cincinnati Specialty Care, LLC
• Meyers & Associates Therapeutic Counseling LLC
• Brittany Miller, O.T.
• Holli Renee Miller, M.ED., LPCC
• Justin R Miller, DO

• Durable Medical Equipment & Medical Supplies in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.