DR. PETER SHIN CHA (NPI# 1205826161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205826161 |
| Entity Type | Individual |
| Full Name | DR. PETER SHIN CHA |
| Credential | M.D. |
| Practice Address |
6480 Harrison Ave Suite 201 Cincinnati OH 45247-7961 |
| Mailing Address |
500 E-business Way Suite A Cincinnati OH 45241-1018 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133547651 |
| Mailing Telephone | 5133543700 |
| Mailing Fax Number | 5133543705 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
35-07-6821 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | WELLCARE | 409406 | 01 |
| OH | AETNA | 7395549 | 01 |
| OH | ANTHEM | 000000320048 | 01 |
| OH | HUMANA | 76821 | 01 |
| OH | 2475610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802521 | Peter Yongsuk Cha | Acupuncturist | 1450 W 6th St Ste 102, Corona, CA 92882-6507 | 2020-02-07 |
| 1912065566 | Peter William Cha | Dentist | 5950 Frederick Crossing Lane, Suite 201, Frederick, MD 21704 | 2006-12-05 |
| 1487188918 | Peter Cha | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2017-04-11 |
| 1508085960 | Peter M. Cha | Dentist | 32114 1st Ave S, Suite100, Federal Way, WA 98003-5760 | 2007-04-24 |
| Street Address |
6480 HARRISON AVE SUITE 201 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-7961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652418 | Shannon M Urton | Physician Assistant | 6480 Harrison Ave, Suite 201, Cincinnati, OH 45247-7961 | 2005-07-13 |
| 1194389395 | Mariah Elizabeth Gador | Physician Assistant | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2019-04-24 |
| 1407322936 | Daniel Thomas Forcum | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-10-23 |
| 1013404664 | James M Brutz | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247 | 2018-04-19 |
| 1619479177 | Kimberly E Broughton | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-03-01 |
| 1629577945 | Samantha Nicole Cliffe | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-02-02 |
| 1629528997 | Brandie Goad | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2016-10-10 |
| 1699143313 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-09-11 |
| 1356726921 | Kimberly A Castleman | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-07-24 |
| 1548650682 | Stacey Yohner | Occupational Therapist | 6480 Harrison Ave, Suite 301, Cincinnati, OH 45247-7961 | 2015-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
| 1568417343 | Matthew L. Busam | Orthopaedic Surgery | 6045 Bridgetown Rd, Ste 4, Cincinnati, OH 45248-3049 | 2006-05-23 |
| 1174593479 | Vincent James Sammarco | Orthopaedic Surgery | 8099 Cornell Rd., Cincinnati, OH 45249 | 2006-01-26 |
| 1821098294 | James P Duffy | Orthopaedic Surgery | 8451 Beechmont Ave, Cincinnati, OH 45255-4743 | 2005-07-28 |
| 1386649614 | Mark G. Siegel | Orthopaedic Surgery | 10663 Montgomery Rd, Cincinnati, OH 45242-4403 | 2005-06-14 |
| 1699391094 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 8099 Cornell Rd Ste 100, Cincinnati, OH 45249-2231 | 2020-06-22 |
| 1154942795 | Mercy Health Physicians Cincinnati Specialty Care LLC | Orthopaedic Surgery | 1701 Mercy Health Pl, Cincinnati, OH 45237-6147 | 2020-05-06 |
| 1366093288 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 3950 Red Bank Rd, Cincinnati, OH 45227-3429 | 2019-09-23 |
| 1801140587 | Maggie Jane Brown | Orthopaedic Surgery | 3333 Burnet Ave, Ml 2016, Cincinnati, OH 45229-3026 | 2012-11-02 |
| 1568778819 | Tahmir H El-tahan | Orthopaedic Surgery | 10663 Montgomery Rd, Cincinnati, OH 45242-4403 | 2010-08-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on DR. PETER SHIN CHA.
| 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.