MERCY HEALTH PHYSICIANS CINCINNATI, LLC (NPI# 1184020067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184020067 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PHYSICIANS CINCINNATI, LLC |
| Practice Address |
2859 Boudinot Ave Suite 304 Cincinnati OH 45238-1606 |
| Mailing Address |
Po Box 632110 Cincinnati OH 45263-2110 |
| Practice Telephone | 5139816784 |
| Practice Fax Number | 5139814346 |
| Mailing Telephone | 5139816610 |
| Mailing Fax Number | 5139816103 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MS. DONNA FULTZ (CORPORATE MANAGER) |
| Authorized Official Telephone | 5139816610 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH WESTERN HILLS ORTHO & SPINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0270942 | 05 |
| 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 |
| 1093103731 | Mercy Health Physicians Cincinnati, LLC | Surgery | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2015-01-05 |
| 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 |
| 1801292792 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 4750 E Galbraith Rd Ste 105, Cincinnati, OH 45236-6706 | 2014-11-05 |
| Street Address |
2859 BOUDINOT AVE SUITE 304 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259310 | Rank Orion Dawson Jr. | Family Medicine | 2859 Boudinot Ave, Ste 305, Cincinnati, OH 45238-1608 | 2005-10-14 |
| 1427337500 | Tonya M Ellis | Physical Therapist | 2859 Boudinot Ave, Suite 205, Cincinnati, OH 45238-1606 | 2011-08-08 |
| 1396079109 | Christian Community Health Services | Clinic/Center | 2859 Boudinot Ave, Suite 107, Cincinnati, OH 45238-1607 | 2009-09-25 |
| 1073784310 | Alliance Primary Care | Radiology | 2859 Boudinot Ave, Suite 107, Cincinnati, OH 45238-1606 | 2008-03-14 |
| 1750437646 | Cincinnati Dermatology, Inc. | Dermatology | 2859 Boudinot Ave, Suite 307, Cincinnati, OH 45238-1606 | 2007-01-25 |
| 1194884957 | Matthew Ernest Ciambarella | Chiropractor | 2859 Boudinot Ave, Suite 304, Cincinnati, OH 45238-1606 | 2006-12-07 |
| 1265500821 | Tri-state Centers for Sight, Inc. | Ophthalmology | 2859 Boudinot Ave, Suite 308, Cincinnati, OH 45238-1606 | 2006-12-01 |
| 1265481972 | Robert P Flick | Obstetrics & Gynecology | 2859 Boudinot Ave, Mob A, Ste 207, Cincinnati, OH 45238-1606 | 2006-05-09 |
| 1649229766 | Hilda Jalipa Canos | Internal Medicine | 2859 Boudinot Ave, Suite 207, Cincinnati, OH 45238-1606 | 2006-05-08 |
| 1861451031 | Teresa A Gossard | Optometrist | 2859 Boudinot Ave, Ste 301, Cincinnati, OH 45238-1606 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1811341936 | Bradley Daniel Ashman | Orthopaedic Surgery | 10663 Montgomery Road, Cincinnati, OH 45242 | 2016-04-14 |
| 1881031722 | Ankit Bansal | Orthopaedic Surgery | 4750 E Galbraith Rd Ste 105, Cincinnati, OH 45236-6706 | 2013-06-02 |
| 1366788846 | Bernard Bron Bacevich | Orthopaedic Surgery | 225 Hilltop Ln, Cincinnati, OH 45215-4121 | 2013-01-02 |
| 1477874402 | Edward H Miller | Orthopaedic Surgery | 9795 Fox Hollow Ln, Cincinnati, OH 45243-1629 | 2010-06-14 |
| 1053631192 | Matthew Brandon Beck | Orthopaedic Surgery | 10663 Montgomery Rd # A, Cincinnati, OH 45242-4403 | 2010-06-10 |
| 1740491273 | Patrick James Messerschmitt | Orthopaedic Surgery | 4440 Glen Este Withamsville Rd Ste 500, Cincinnati, OH 45245 | 2007-05-25 |
| 1144435553 | Michael Paczas | Orthopaedic Surgery | 538 Oak St Ste 200, Cincinnati, OH 45219-2554 | 2007-05-11 |
| 1497849731 | Thomas Arthur Bender | Orthopaedic Surgery | 3345 Whitfield Ave, Cincinnati, OH 45220-2083 | 2006-10-03 |
| 1336251388 | Raj Verrabhadra Kakarlapudi | Orthopaedic Surgery | 10475 Reading Rd Ste 115, Cincinnati, OH 45241-2500 | 2006-08-31 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
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.