Active NPI
Samuel Rohan Eshleman Latimer, M.A.
- Student in an Organized Health Care Education/Training Program
- Cincinnati, OH
National Provider Identifier
1962045039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2621 Victory Pkwy
Cincinnati, OH 45206-1754 - Phone
- (513) 221-4673
- NPI assigned
- Oct 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2621 Victory Pkwy
Cincinnati, OH 45206-1754
Mailing address
994 Dana Ave Apt 1
Cincinnati, OH 45229-1488
Phone (740) 498-1778
Other names 1
- Mr. Samuel Rohan Miller-Eshleman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1962045039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 DANA AVE APT 1",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452291488",
"telephone_number": "740-498-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061754",
"telephone_number": "513-221-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHLEMAN LATIMER",
"first_name": "SAMUEL",
"middle_name": "ROHAN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMUEL",
"last_name": "MILLER-ESHLEMAN",
"middle_name": "ROHAN",
"prefix": "MR.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.