HEALTHSOURCE OF OHIO, INC. (NPI# 1023358892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023358892 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF OHIO, INC. |
| Practice Address |
6131 Campus Ln Cincinnati OH 45230-1601 |
| Mailing Address |
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 |
| Practice Telephone | 5137325088 |
| Practice Fax Number | 5132312620 |
| Mailing Telephone | 5137074041 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | KIMBERLY PATTON (CEO/PRESIDENT) |
| Authorized Official Telephone | 5135767700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0087606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1326142480 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Drive, Suite 1, Hillsboro, OH 45133-8591 | 2006-09-11 |
| 1174555478 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Dr, Suite 1, Hillsboro, OH 45133-1184 | 2006-07-07 |
| 1306874326 | Healthsource of Ohio, Inc. | Clinic/Center | 6535 Snider Rd, Loveland, OH 45140-9588 | 2006-06-29 |
| 1164458717 | Healthsource of Ohio, Inc. | Clinic/Center | 308 Highland Ave, Ste H, Washington Court House, OH 43160-1819 | 2006-06-24 |
| 1417992330 | Healthsource of Ohio, Inc. | Clinic/Center | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2006-06-17 |
| 1164933362 | Healthsource of Ohio, Inc. | Clinic/Center | 1341 Clough Pike Ste 150, Batavia, OH 45103-2503 | 2017-10-16 |
| 1902325822 | Healthsource of Ohio, Inc. | Clinic/Center | 2055 Hospital Dr Ste 220, Batavia, OH 45103-1964 | 2017-09-12 |
| 1013436930 | Healthsource of Ohio, Inc. | Obstetrics & Gynecology | 2055 Hospital Dr Ste 220, Batavia, OH 45103-1964 | 2017-09-12 |
| 1841624350 | Healthsource of Ohio, Inc. | Clinic/Center | 1231 Columbus Ave, Unit A1, Lebanon, OH 45036-8195 | 2013-09-03 |
| Street Address |
6131 CAMPUS LN |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45230-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548596976 | Monica Brown | Nurse Practitioner | 6131 Campus Ln, Cincinnati, OH 45230-1601 | 2009-10-20 |
| 1801208657 | Robert Kuo | Family Medicine | 6131 Campus Ln, Cincinnati, OH 45230-1601 | 2014-05-28 |
| 1659611424 | Healthsource of Ohio, Inc. | Clinic/Center | 6131 Campus Ln, Cincinnati, OH 45230-1601 | 2013-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552904 | Alexis Lynne Cranley | Speech-Language Pathologist | 6421 Corbly Street, Cincinnati, OH 45230 | 2020-09-10 |
| 1942762141 | Donnita Alane Hogan | Home Health Aide | 1839 Beacon Street Apt 105, Cincinnati, OH 45230 | 2019-04-05 |
| 1427590751 | Stefanie Domanico | Nurse Anesthetist, Certified Registered | 2544 Spindlehill Dr, Apt 5, Cincinnati, OH 45230 | 2016-11-17 |
| 1780072561 | Jessica A Macdonald | Clinical Neuropsychologist | 8000 5 Mile Rd Ste 330, Cincinnati, OH 45230 | 2015-01-02 |
| 1497095277 | Abigail Lynne Holbrook | Obstetrics & Gynecology | 8000 5 Mile Rd Ste 250, Cincinnati, OH 45230 | 2013-02-15 |
| 1649556069 | Neil A Rush | Pharmacist | 2203 Beechmont, Cincinnati, OH 45230 | 2011-10-31 |
| 1144411638 | Karla Kay Imbus | Physician Assistant | 7655 Five Mile Road, Suite 117, Cincinnati, OH 45230 | 2007-08-08 |
| 1972631273 | Trihealth G., LLC | Allergy & Immunology | 7810 Five Mile Rd, Cincinnati, OH 45230 | 2007-03-01 |
| 1548312093 | Eye - Tech Opt Inc | Technician/Technologist | 2057 Beechmont Ave, Cincinnati, OH 45230 | 2007-01-17 |
| 1851442289 | Terry Sky Glendening | Psychologist | 1080 Nimitzview Dr, Suite 200, Cincinnati, OH 45230 | 2007-01-13 |
| Find all providers in zip 45230 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518464635 | Cincinnati Health Network, Inc | Clinic/Center | 1615 Republic St, Cincinnati, OH 45202-6464 | 2018-04-06 |
| 1316443344 | Cincinnati Health Network, Inc | Clinic/Center | 2499 Reading Rd, Cincinnati, OH 45202-1464 | 2018-03-30 |
| 1689021230 | City of Cincinnati | Clinic/Center | 420 Ezzard Charles Dr, Cincinnati, OH 45214-2806 | 2016-05-24 |
| 1154776979 | Cincinnati Health Network, Inc | Clinic/Center | 411 Gest St Ste 1, Cincinnati, OH 45203-1731 | 2016-04-29 |
| 1508254749 | City of Cincinnati | Clinic/Center | 800 Bank St, Cincinnati, OH 45214-2297 | 2014-12-22 |
| 1366860223 | Christian Community Health Services | Clinic/Center | 241 E Clifton Ave, Cincinnati, OH 45202-8905 | 2014-03-28 |
| 1538586706 | City of Cincinnati | Clinic/Center | 5730 Colerain Ave, Cincinnati, OH 45239-6714 | 2014-03-25 |
| 1174867881 | The Healthcare Connection, Inc | Clinic/Center | 100 Viking Way, Cincinnati, OH 45246-1139 | 2012-11-19 |
| 1316294119 | City of Cincinnati | Clinic/Center | 1930 Fricke Rd, Cincinnati, OH 45225-1200 | 2012-08-10 |
| 1952658759 | City of Cincinnati | Clinic/Center | 2240 Baltimore Ave, Cincinnati, OH 45225-1102 | 2012-08-10 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45230 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.