Organization Active NPI

St. Aloysius

  • Primary Care Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1902284094
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ST. ALOYSIUS
Practice address
4721 Reading Rd
Cincinnati, OH 45237-6107
Phone
(513) 242-7600
NPI assigned
May 11, 2015
Organization subpart
Yes
Parent organization
ST. ALOYSIUS ORPHANAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mr. Tim Sillaman, MSW
Title
Cpo
Phone
(513) 242-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4721 Reading Rd
Cincinnati, OH 45237-6107

Mailing address

4721 Reading Rd
Cincinnati, OH 45237-6107
Phone (513) 242-7600

Other identifiers 2

IdentifierTypeStateIssuer
2475601MedicaidOH
251738OtherOHCARF

National Provider Directory

National Provider Directory
Tax ID family
St Aloysius Orphanage10 organizations share this tax ID, including this one
Part of
St Aloysius Orphanage

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1902284094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376107",
            "telephone_number": "513-242-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376107",
            "telephone_number": "513-242-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALOYSIUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. ALOYSIUS ORPHANAGE",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SILLAMAN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "513-242-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2475601",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF",
            "identifier": "251738",
            "state": "OH"
        }
    ],
    "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 May 11, 2015; 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.