Active NPI
Kenwood Internal Medicine, Inc
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1902851017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KENWOOD INTERNAL MEDICINE, INC
- Practice address
- 9403 Kenwood Rd
Ste D203
Cincinnati, OH 45242-6895 - Phone
- (513) 686-8100
- Fax
- (513) 686-8109
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Schneider
- Title
- President
- Phone
- (513) 686-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
9403 Kenwood Rd
Ste D203
Cincinnati, OH 45242-6895
Mailing address
PO Box 633249
Cincinnati, OH 45263-3249
Phone (513) 891-2813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2319280 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902851017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633249",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452633249",
"telephone_number": "513-891-2813",
"fax_number": "513-793-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 KENWOOD RD",
"address_2": "STE D203",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426895",
"telephone_number": "513-686-8100",
"fax_number": "513-686-8109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENWOOD INTERNAL MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-686-8100"
},
"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": "2319280",
"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 Aug 22, 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.