DR. JOE NATHAN HACKWORTH (NPI# 1619974987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619974987 |
| Entity Type | Individual |
| Full Name | DR. JOE NATHAN HACKWORTH |
| Credential | M.D. |
| Practice Address |
4101 Edwards Rd Second Floor Cincinnati OH 45209-1672 |
| Practice Telephone | 5139850741 |
| Practice Fax Number | 5139792830 |
| Mailing Telephone | 5139850741 |
| Mailing Fax Number | 5139792830 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
33001 | KY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35-03-9624 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64739444 | 05 | |
| OH | 0317857 | 05 | |
| KY | MEDICARE | 0369106 | 01 |
| OH | RR MEDICARE | P00884967 | 01 |
| RR MEDICARE | 060037112 | 01 | |
| OH | CARESOURCE | 611300608052 | 01 |
| KY | MEDICARE | 0369006 | 01 |
| KY | MEDICARE | 0562606 | 01 |
| Street Address |
4101 EDWARDS RD SECOND FLOOR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881063535 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 4101 Edwards Rd, Second Floor, Cincinnati, OH 45209-1672 | 2015-09-23 |
| 1336582014 | Mercy Emergency Physicians Inc | Emergency Medicine | 4101 Edwards Rd, Cincinnati, OH 45209-1609 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1124421557 | Trihealth Physcian Institute | Internal Medicine | 2866 Boudinot Ave, Cincinnati, OH 45238-7400 | 2014-09-30 |
| 1700143971 | Odayme Quesada | Internal Medicine | 11140 Montgomery Rd Ste 1300, Cincinnati, OH 45249-2309 | 2012-04-12 |
| 1487889945 | Dilesh Patel | Internal Medicine | 10506 Montgomery Rd Ste 301a, Cincinnati, OH 45242-4400 | 2009-05-27 |
| 1548404171 | Paul George Geiss | Internal Medicine | 6017 W Fork Rd, Cincinnati, OH 45247-5772 | 2009-04-27 |
| 1073711826 | Dylan Lauri Steen | Internal Medicine | 243 Goodman St., Ml 0542, Cincinnati, OH 45219 | 2007-07-03 |
| 1629190467 | Marshall W Winner IIi | Internal Medicine | 3219 Clifton Ave Ste 400, Cincinnati, OH 45220-3049 | 2007-04-04 |
| 1225174824 | Cardiac Care Associates | Internal Medicine | 2852 Boudinot Ave, Cincinnati, OH 45238-2461 | 2007-01-30 |
| 1174671820 | George E. Blake | Internal Medicine | 4760 E Galbraith Rd Ste 205, Cincinnati, OH 45236 | 2007-01-08 |
| 1790867810 | Cincinnati Heart Group Inc | Internal Medicine | 625 Eden Park Drive, Suite 340, Cincinnati, OH 45202 | 2006-10-19 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
Please comment or provide details below to improve the information on DR. JOE NATHAN HACKWORTH.
| 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.