TRIHEALTH (NPI# 1538363650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538363650 |
| Entity Type | Organization |
| Organization Name | TRIHEALTH |
| Other Organization Name | BETHESDA FAMILY MEDICINE RESIDENCY |
| Practice Address |
4411 Montgomery Rd #206 Cincinnati OH 45212-3187 |
| Practice Telephone | 5136310763 |
| Mailing Telephone | 5136310763 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANGELA U TUCKER (RESIDENT) |
| Authorized Official Telephone | 5136310763 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 57009041 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MD TRAINING CERTIFICATE | 57009041 | 01 |
| Other Name | Type Code |
|---|---|
| Bethesda Family Medicine Residency | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942547682 | Trihealth | Preferred Provider Organization | 6200 Pfieffer Rd, Cincinnati, OH 45242 | 2013-01-15 |
| 1215415906 | Trihealth | Massage Therapist | 6200 Pfeiffer Rd, Montgomery, OH 45242-5862 | 2018-08-03 |
| 1154857340 | Trihealth | General Acute Care Hospital | 10600 Montgomery Rd, Cincinnati, OH 45242-4463 | 2017-05-07 |
| 1770839888 | Trihealth | Clinic/Center | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-07-26 |
| 1760780795 | Trihealth | General Acute Care Hospital | 375 Dixmyth Ave, Medical Education Dept, 3th Floor, Cincinnati, OH 45220-2475 | 2011-02-28 |
| 1407050537 | Trihealth | Family Medicine | 4411 Montgomery Rd, #206, Cincinnati, OH 45212-3187 | 2007-06-13 |
| 1467655977 | Trihealth | Family Medicine | 4411 Montgomery Rd, #206, Cincinnati, OH 45212-3187 | 2007-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRIHEALTH | 4750 Wesley Ave, Cincinnati, OH 45212-2244 |
| Virginia Business Entities | TRIHEALTH PHYSICIAN SOLUTIONS INC. | 11 South 12 St, Po Box 1463, Richmond, Virginia 23218 |
| Vermont Business Registrations | TRIHEALTH PHYSICIAN SOLUTIONS, INC. | 619 Oak St., Cincinnati, OH 45206 |
| Indiana Business Entities | TRIHEALTH PHYSICIAN SOLUTIONS, INC. | 619 Oak St., Cincinnati, OH 45206 |
| Ohio Business Entities | TRIHEALTH REHABILITATION HOSPITAL, LLC | Michael E. Tarvin, 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Indiana Business Entities | TRIHEALTH SENIORITY | 41 S. High St., Columbus, OH 43215 |
| Indiana Business Entities | TRIHEALTH, INC. | 2704 Commerce Dr, Ste B, Harrisburg, PA 17110 |
| Street Address |
4411 MONTGOMERY RD #206 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45212-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706061 | Scott E Woods | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212-3187 | 2005-10-31 |
| 1346683570 | Steven R Jung | Family Medicine | 4411 Montgomery Rd, Suite 206, Cincinnati, OH 45212-3187 | 2013-04-08 |
| 1073830832 | Venkat K Mothkur | Student in an Organized Health Care Education/Training Program | 4411 Montgomery Rd, Suite #206, Cincinnati, OH 45212-3187 | 2010-05-03 |
| 1407050537 | Trihealth | Family Medicine | 4411 Montgomery Rd, #206, Cincinnati, OH 45212-3187 | 2007-06-13 |
| 1467656462 | Emily E Dixon | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212 | 2007-06-13 |
| 1356545362 | Maria Rosario Devega | Student in an Organized Health Care Education/Training Program | 4411 Montgomery Rd, #206, Cincinnati, OH 45212-3187 | 2007-06-13 |
| 1467655977 | Trihealth | Family Medicine | 4411 Montgomery Rd, #206, Cincinnati, OH 45212-3187 | 2007-06-11 |
| 1942385802 | Michael D. Webb | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212-3144 | 2006-10-26 |
| 1154403954 | Jonathan S Sorscher | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212-3144 | 2006-10-20 |
| 1770527863 | Arland E Esch | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212-3144 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1629566039 | Jessica Lee Eckstein | Nurse Practitioner | 4805 Montgomery Rd Ste 154, Cincinnati, OH 45212 | 2018-05-01 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| Find all providers in zip 45212 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1861021016 | Md360, LLC | Family Medicine | 4605 E Galbraith Rd Ste 110, Cincinnati, OH 45236-2887 | 2020-04-08 |
| 1851942700 | Eastside Family Care, LLC | Family Medicine | 872 Ohio Pike Ste B, Cincinnati, OH 45245-2204 | 2019-09-23 |
| 1669932224 | Andrea Marie Rosado | Family Medicine | 2123 Auburn Ave Ste 340, Cincinnati, OH 45219-2906 | 2019-03-20 |
| 1386109783 | Pamela Dawn Holland | Family Medicine | 626 Arlington Dr, Cincinnati, OH 45244-1310 | 2019-02-10 |
| 1427554682 | Laura Ledvora | Family Medicine | 2139 Auburn Ave Ste 235, Cincinnati, OH 45219-2906 | 2018-04-04 |
| 1609394907 | Maureen Elizabeth Rooney | Family Medicine | 7502 State Rd Ste 3350, Cincinnati, OH 45255-2801 | 2017-09-07 |
| 1396267530 | Midwest Health Group LLC | Family Medicine | 1420 E Mcmillan St Fl 3, Cincinnati, OH 45206-2225 | 2017-07-10 |
| 1508392671 | Jennifer Lynn Bauer | Family Medicine | 1128 Gracewind Ct, Cincinnati, OH 45231-4604 | 2017-05-10 |
| 1073977740 | Michael Putnam | Family Medicine | 2123 Auburn Ave. Tch Family Medicine, Suite 235, Cincinnati, OH 45219 | 2016-04-08 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45212 |
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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.