Individual provider Active NPI

Tamara Aishamarryshow Huson, MD

  • Family Medicine Physician
  • Loveland, OH
National Provider Identifier
1982124244
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35143595 Issued in OH
Practice address
10562 Loveland Madeira Rd
Loveland, OH 45140-8962
Phone
(513) 583-6160
Fax
(513) 583-6061
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LP04112 RI
Family Medicine Physician 207Q00000X 322666 LA
Family Medicine Physician 207Q00000X 35143595 OH Primary

Addresses

Primary practice location

10562 Loveland Madeira Rd
Loveland, OH 45140-8962

Mailing address

10562 Loveland Madeira Rd
Loveland, OH 45140-8962
Phone (513) 583-6160

Other practice location 1

111 Brewster St
FCC C
Pawtucket, RI 02860
Phone (401) 729-2769

Other practice location 2

12525 Perkins Rd Ste A
Baton Rouge, LA 70810-1907
Phone (225) 761-4256

Other identifiers 1

IdentifierTypeStateIssuer
LP04112OtherRIRHODE ISLAND MEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tgranados1348112@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20220803003914 OH Practitioner - Family Practice 8426473182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778
Phone (513) 952-5930

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP04112RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

10562 Loveland Madeira Rd
Loveland, OH 45140
Phone (513) 583-6160

Interoperability endpoints

  • Direct secure messaging: thuson1328235@direct.bsmhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1982124244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10562 LOVELAND MADEIRA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408962",
            "telephone_number": "513-583-6160",
            "fax_number": "513-583-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10562 LOVELAND MADEIRA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408962",
            "telephone_number": "513-583-6160",
            "fax_number": "513-583-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Brewster St",
            "address_2": "FCC C",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "02860",
            "country_code": "US",
            "telephone_number": "401-729-2769",
            "fax_number": "401-729-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12525 Perkins Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708101907",
            "country_code": "US",
            "telephone_number": "225-761-4256",
            "fax_number": "225-761-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSON",
        "first_name": "TAMARA",
        "middle_name": "AISHAMARRYSHOW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "LP04112",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "322666",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35143595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND MEDICAL LICENSE",
            "identifier": "LP04112",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgranados1348112@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tgranados1348112@direct.casso.us.com",
            "address_1": "12525 Perkins Rd Ste A",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708101907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "12525 Perkins Rd Ste A",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708101907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.