MR. MICHAEL JUSTIN (NPI# 1023196904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023196904 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JUSTIN |
| Credential | M.D. |
| Practice Address |
1577 Goodman Ave A Cincinnati OH 45224-1004 |
| Practice Telephone | 5135213600 |
| Practice Fax Number | 5135216400 |
| Mailing Telephone | 5135213600 |
| Mailing Fax Number | 5135216400 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35067345 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2284380 | 05 |
| Street Address |
1577 GOODMAN AVE A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45224-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756673 | Anthony Thompson | Specialist | 1577 Goodman Ave, Cincinnati, OH 45224-1044 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679035653 | Twin Towers | Assisted Living Facility | 5343 Hamilton Avenue, Attn: Lec Finance, Cincinnati, OH 45224 | 2019-04-01 |
| 1376025700 | Lashonda Ferguson | Licensed Practical Nurse | 6465 Devonwood . Drive, Cincinnati, OH 45224 | 2018-09-01 |
| 1992205082 | Crystal Mccray | Massage Therapist | 6204 Hamilton Avenue, Suite 6 D, Cincinnati, OH 45224 | 2018-02-15 |
| 1023517927 | Queen City Medical Transport | Non-emergency Medical Transport (VAN) | 824 W. North Bend, Unit 2 Box #5, Cincinnati, OH 45224 | 2018-02-06 |
| 1982123311 | Brenda Frost Mitchel | Counselor | 5837 Hamilton Avenue, Cincinnati, OH 45224 | 2017-09-18 |
| 1043732522 | Deborah Ann Whitlock | Registered Nurse | 6404 Aspen Way, #2, Cincinnati, OH 45224 | 2017-07-17 |
| 1225403488 | Tierria Suggs | Home Health Aide | 1442 Marlowe Ave, Cincinnati, OH 45224 | 2015-12-14 |
| 1417370305 | Bobby Jordan | Social Worker | 5800 Salvia Avenue, Cincinnati, OH 45224 | 2014-01-28 |
| 1528333697 | Lynn Mary Fitzwater | Registered Nurse | 6484 Teakwood Ct, Cincinnati, OH 45224 | 2012-03-21 |
| 1063782282 | Markiana S. Cornist | Licensed Practical Nurse | 6240 Hamilton Ave Ste 6c, Cincinnati, OH 45224 | 2012-01-04 |
| Find all providers in zip 45224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595327 | Katelyn Marie Gurren | Specialist | 5050 Madison Rd # N, Cincinnati, OH 45227-1491 | 2020-07-20 |
| 1497224398 | Kimberly Wayne Bolden | Specialist | 5560 Edger Dr, Cincinnati, OH 45239-7293 | 2018-11-20 |
| 1285153262 | Philip Jason Jemison I | Specialist | 5050 Madison Road, Cincinnati, OH 45227 | 2017-09-12 |
| 1720520612 | Westside Primary Care, LLC | Specialist | 4342 Harrison Ave, Cincinnati, OH 45211-3322 | 2016-11-09 |
| 1710439427 | Mayo Tamura | Specialist | 8 Enfield St, Cincinnati, OH 45218-1434 | 2016-10-28 |
| 1336696301 | Tyler Matthew Wynn | Specialist | 151 W Galbraith Rd Ste N2045, Cincinnati, OH 45216-1015 | 2016-09-07 |
| 1508220047 | Kenneth Gans | Specialist | 1112 Fenmore Dr, Cincinnati, OH 45237-5120 | 2016-04-11 |
| 1922469303 | Emily Maue | Specialist | 5014 Madison Rd, Apt 5, Cincinnati, OH 45227-1432 | 2016-03-14 |
| 1598162109 | Melissa Hudson | Specialist | 11770 Pippin Rd, Cincinnati, OH 45231-1158 | 2014-11-25 |
| 1336555481 | Steven Spreen | Specialist | 6814 Miami Bluff Dr, Cincinnati, OH 45227-4313 | 2014-07-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45224 |
Please comment or provide details below to improve the information on MR. MICHAEL JUSTIN.
| 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.