ITM GERIATRIC SPECIALIST, LLC (NPI# 1073668315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073668315 |
| Entity Type | Organization |
| Organization Name | ITM GERIATRIC SPECIALIST, LLC |
| Practice Address |
619 Oak St Rm 645 Cincinnati OH 45206-1613 |
| Mailing Address |
Po Box 635627 Cincinnati OH 45263-0044 |
| Practice Telephone | 5135696780 |
| Practice Fax Number | 5135696555 |
| Mailing Telephone | 5138917574 |
| Mailing Fax Number | 5138911039 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | DR. IMRAN T MINHAS (OWNER) |
| Authorized Official Telephone | 5135696780 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2958983 | 05 | |
| OH | RR MEDICARE | DF8219 | 01 |
| Street Address |
619 OAK ST RM 645 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45206-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324275 | Seniors First Inc. | Internal Medicine | 619 Oak St, Rm 645, Cincinnati, OH 45206-1613 | 2005-05-23 |
| 1720519606 | Bethesda Alcohol and Drug Treatment Program | General Acute Care Hospital | 619 Oak St, 4 West, Cincinnati, OH 45206-1613 | 2017-03-23 |
| 1821457383 | Mccullough Hyde Memorial Hospital Inc | Physiological Laboratory | 619 Oak St, Cincinnati, OH 45206-1613 | 2016-02-12 |
| 1255714838 | Healthcare Solutions Network, LLC | Public Health or Welfare | 619 Oak St, Cincinnati, OH 45206-1613 | 2015-07-01 |
| 1811215742 | Trihealth H LLC | Hospitalist | 619 Oak St, Cincinnati, OH 45206-1613 | 2010-05-17 |
| 1245476134 | Geriatrics Consultants, LLC | Internal Medicine | 619 Oak St, Ste 645, Cincinnati, OH 45206-1613 | 2008-12-23 |
| 1619166642 | Raymond H Hellmann IIi | Internal Medicine | 619 Oak St, Cincinnati, OH 45206-1613 | 2007-10-16 |
| 1063637957 | Gretchen Serota | Specialist | 619 Oak St, Cincinnati, OH 45206-1613 | 2007-04-16 |
| 1215054986 | Trihealth Physician Institute | Internal Medicine | 619 Oak St, 4 West, Cincinnati, OH 45206-1613 | 2007-03-26 |
| 1912006537 | Syamoq Eldercare, Inc | Internal Medicine | 619 Oak St, Ste 645, Cincinnati, OH 45206-1613 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686478 | Teresa Marie Truesdell | Counselor | 3605 Woodburn Ave, Cincinnati, OH 45206 | 2018-04-10 |
| 1881137172 | Chase Mauger | Counselor | 2700 Victory Parkway, Cincinnati, OH 45206 | 2016-11-18 |
| 1316492390 | The Young Men's Christian Association of Greater Cincinnati | Health Educator | 2840 Melrose Avenue, Cincinnati, OH 45206 | 2016-08-19 |
| 1326591231 | Valante Jackson | Counselor | 2638 Victory Pkwy, Cincinnati, OH 45206 | 2016-07-27 |
| 1245637099 | Charles Workman | Social Worker | 2600 Victory Parkway, Cincinnati, OH 45206 | 2014-11-21 |
| 1154727642 | Lauren Schrand | Social Worker | 2651 Observatory Ave., Cincinnati, OH 45206 | 2014-11-10 |
| 1619387487 | Jeanne Romell | Occupational Therapy Assistant | 1520 Madison Road, Cincinnati, OH 45206 | 2014-05-02 |
| 1821347923 | Geoffrey L Raine | Counselor | 1501 Madison Road, Cincinnati, OH 45206 | 2012-09-05 |
| 1215207766 | Consultants of Mind Matters, Inc | Counselor | 2200 Victory Parkway, Suite 602, Cincinnati, OH 45206 | 2011-12-30 |
| 1851671093 | Patricia Lynn Zureick | Counselor | 2330 Victory Parkway Ave, Mercy Professional Services Suite 500, Cincinnati, OH 45206 | 2011-08-19 |
| Find all providers in zip 45206 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639404171 | Midwest Dysphagia Consultants, LLC | Family Medicine | 5710 Wooster Pike Ste 102, Cincinnati, OH 45227-4520 | 2009-10-15 |
| 1629087689 | Hilltop Physicians Inc | Family Medicine | 6103 Hamilton Ave, Cincinnati, OH 45224 | 2006-08-07 |
| 1912946146 | Emmanuel V Rivera | Family Medicine | 619 Oak St, Ste 645, Cincinnati, OH 45206-1613 | 2006-06-05 |
| 1134104375 | Susan Schrimpf Davis | Family Medicine | 305 Crescent Ave, University Wyoming Family Practice Center, Cincinnati, OH 45215-4406 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645779 | Francis Dapaah | Family Medicine | 1264 Brainard Rd, Lyndhurst, OH 44124-1404 | 2019-11-27 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1780009928 | Js Aesthetics | Family Medicine | 2400 Passage Key Trl, Xenia, OH 45385-9212 | 2014-02-25 |
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1902152366 | Mason Family Health Center LLC | Family Medicine | 7808 Derbyshire Ct, Liberty Township, OH 45044-9049 | 2012-08-02 |
| 1548539976 | Eva Ray Lefton | Family Medicine | 16 Deerfield Ln, Beachwood, OH 44122-7502 | 2011-12-13 |
| 1508189499 | Senior Care Physicians, Inc. | Family Medicine | 1745 Indian Wood Cir Ste 252, Maumee, OH 43537-4168 | 2010-03-05 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
| 1033240031 | Leslie Z Vidmar | Family Medicine | 8524 Cranwood Dr, Chesterland, OH 44026-1416 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45206 |
Please comment or provide details below to improve the information on ITM GERIATRIC SPECIALIST, 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.