Active NPI
Douglas E Puterbaugh, MD
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35048735P
- Practice address
- 6825 Wooster Pike
Cincinnati, OH 45227-4328 - Phone
- (513) 272-0250
- Fax
- (513) 272-1728
- NPI assigned
- Nov 15, 2005
- Last updated
- Jan 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35048735P | OH | Primary |
Addresses
Primary practice location
6825 Wooster Pike
Cincinnati, OH 45227-4328
Mailing address
4700 Smith Rd
Suite a
Cincinnati, OH 45212-2787
Phone (513) 533-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0553155 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35048735P | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Family Medicine | Current | Accepting new patients |
| Trihealth HF LLC | Family Medicine | Past | Accepting new patients |
| Health First Physicians | Family Medicine | Past | Accepting new patients |
| Health First Physicians | Family Medicine | Past | Accepting new patients |
| Trihealth H LLC | Past | Accepting new patients | |
| Trihealth HF LLC | Family Medicine | Past | Accepting new patients |
Locations
4422 Carver Woods Dr
Ste 100
Blue Ash, OH 45242
Phone (513) 792-4700
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
425 Farrell Ct
Cincinnati, OH 45233
Phone (513) 451-6871
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
6825 Wooster Pike
Cincinnati, OH 45227
Phone (513) 272-0250
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1184606006
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1407837842
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
dba Miami University Health Services
- Family Medicine Physician
- Oxford, OH
- NPI 1174924872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1902888100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SMITH RD",
"address_2": "SUITE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122787",
"telephone_number": "513-533-1199",
"fax_number": "513-533-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 WOOSTER PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452274328",
"telephone_number": "513-272-0250",
"fax_number": "513-272-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTERBAUGH",
"first_name": "DOUGLAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35048735P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0553155",
"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 Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.