MERCY HEALTH PHYSICIANS CINCINNATI, LLC (NPI# 1093103731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093103731 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PHYSICIANS CINCINNATI, LLC |
| Other Organization Name | MERCY HEALTH CARDIOVASCULAR, THORACIC, VASCULAR AND ENDOVASCULAR |
| Practice Address |
4030 Smith Rd Suite 300 Cincinnati OH 45209-1957 |
| Practice Telephone | 5134213494 |
| Practice Fax Number | 5133452606 |
| Mailing Telephone | 5134213494 |
| Mailing Fax Number | 5133452606 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | MS. CASSIE HAVLIN (PAYER CREDENTIALING) |
| Authorized Official Telephone | 5139814684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0270942 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Health Cardiovascular, Thoracic, Vascular and Endovascular | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518380393 | Mercy Health Physicians Cincinnati, LLC | Durable Medical Equipment & Medical Supplies | 5236 Socialville Foster Rd, Mason, OH 45040-9302 | 2014-01-29 |
| 1205887023 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 1701 Mercy Health Pl, Cincinnati, OH 45237-6147 | 2006-05-15 |
| 1417401381 | Mercy Health Physicians Cincinnati, LLC | Clinic/Center | 204 Patrick Ave, Urbana, OH 43078-2302 | 2016-08-09 |
| 1992101661 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2014-11-07 |
| 1801292578 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 10450 New Haven Rd, Harrison, OH 45030-2780 | 2014-11-07 |
| 1912303793 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 3301 Mercy Health Blvd, Suite 450, Cincinnati, OH 45211-1105 | 2014-11-06 |
| 1184020067 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 2859 Boudinot Ave, Suite 304, Cincinnati, OH 45238-1606 | 2014-11-05 |
| 1801292792 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 4750 E Galbraith Rd Ste 105, Cincinnati, OH 45236-6706 | 2014-11-05 |
| Street Address |
4030 SMITH RD SUITE 300 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343008 | Todd M Bayer | Specialist | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2005-08-12 |
| 1326671405 | Dental Sleep Solutions of Cincinnati | Clinic/Center | 4030 Smith Rd, Cincinnati, OH 45209-1957 | 2020-02-18 |
| 1942734157 | Ronald J Solomon Dds Angela Ott Dds, Inc | Clinic/Center | 4030 Smith Rd, Suite 110, Cincinnati, OH 45209-1957 | 2017-04-13 |
| 1962947036 | Cranial Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 4030 Smith Rd, Suite 105, Cincinnati, OH 45209-1957 | 2016-12-28 |
| 1811369283 | Stephanie Sobol | Nurse Practitioner | 4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957 | 2015-10-26 |
| 1891040168 | Stephanie Ann Racicki | Physical Therapist | 4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957 | 2012-07-23 |
| 1083970446 | Charles Allen Huff | Nurse Practitioner | 4030 Smith Rd, Ste. 300, Cincinnati, OH 45209-1957 | 2012-04-10 |
| 1487925194 | Jayne Bodenbach | Nurse Practitioner | 4030 Smith Rd, Ste 300, Cincinnati, OH 45209-1974 | 2012-01-26 |
| 1154643039 | Mohi Omer Mitiek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2010-02-19 |
| 1861688020 | Ezis & Blume Dds, Ms LLC | Dentist | 4030 Smith Rd, Suite 225, Cincinnati, OH 45209-1957 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205348307 | Antonio Panza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-10-30 |
| 1760872659 | John Albers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Diplomat Dr, Cincinnati, OH 45215-2073 | 2015-01-29 |
| 1952633505 | George Melancthon Callard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2345 Bedford Ave, Cincinnati, OH 45208-2656 | 2010-02-08 |
| 1720217870 | David Glenn Lehenbauer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 Burnet Ave., Ml 2004, Cincinnati, OH 45229 | 2009-07-10 |
| 1710128749 | Robert Mauro Van Haren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 222 Piedmont Ave # Surgery, Cincinnati, OH 45219 | 2009-03-21 |
| 1508048943 | Shibumi, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 Straight St, Cincinnati, OH 45219-1019 | 2007-11-28 |
| 1205892254 | Saeed Esmaili | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7029 Beech Hollow Dr, Cincinnati, OH 45236-1470 | 2006-04-26 |
| 1356334692 | Louis A Brunsting IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10496 Montgomery Rd Ste 104, Cincinnati, OH 45242 | 2005-08-23 |
| 1356347934 | Richard S. Glaser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10496 Montgomery Rd, Suite 101, Cincinnati, OH 45242-5223 | 2005-06-28 |
| 1215930532 | Hezekiah G.p. Shani | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3120 Burnet Ave, Ste 401, Cincinnati, OH 45229-3092 | 2005-05-31 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
Please comment or provide details below to improve the information on MERCY HEALTH PHYSICIANS CINCINNATI, LLC.
| 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.