MEDICAL ASSOCIATION OF EASTERN CINCINNATI (NPI# 1790726644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790726644 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATION OF EASTERN CINCINNATI |
| Practice Address |
796 Old State Route 74 Cincinnati OH 45245-1262 |
| Mailing Address |
Po Box 633094 Cincinnati OH 45263-3094 |
| Practice Telephone | 5137525800 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3149895797 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS MEYERS (MANAGING EMPLOYEE) |
| Authorized Official Telephone | 5137525800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35055795 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2282426 | 05 |
| Street Address |
796 OLD STATE ROUTE 74 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891181277 | Kanhya Ton | Nurse Practitioner | 796 Old State Route 74, Suite 100, Cincinnati, OH 45245-1262 | 2015-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| 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 | 45245 |
Please comment or provide details below to improve the information on MEDICAL ASSOCIATION OF EASTERN CINCINNATI.
| 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.