Individual provider Active NPI

Douglas E Puterbaugh, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1902888100
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35048735P Issued in OH
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0553155MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000336 OH Practitioner - Family Practice 3971498098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35048735POHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Jan 1, 2016 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.

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

Verify at the official NPI Registry.