GERIATRIC HEALTHCARE SERVICES OF GREATER CINCINNATI, LLC (NPI# 1811170756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811170756 |
| Entity Type | Organization |
| Organization Name | GERIATRIC HEALTHCARE SERVICES OF GREATER CINCINNATI, LLC |
| Other Organization Name | GERIATRIC HEALTHCARE SERVICES, PLLC |
| Practice Address |
2408 Hill Ave Middletown OH 45044-4732 |
| Mailing Address |
Po Box 427 Florence KY 41022-0427 |
| Practice Telephone | 5135696780 |
| Mailing Telephone | 5135696780 |
| Mailing Fax Number | 8593720065 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | MR. BRADLEY BRUNS (OWNER) |
| Authorized Official Telephone | 8593720711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2877785 | 05 | |
| OH | RR MEDICARE | DN8827 | 01 |
| Other Name | Type Code |
|---|---|
| Geriatric Healthcare Services, PLLC | Former Legal Business Name - Organization |
| Street Address |
2408 HILL AVE |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053365957 | Bradley P Bruns | Physician Assistant | 2408 Hill Ave, Middletown, OH 45044-4732 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598160699 | Kelly Jones | Physician Assistant | 5809 W County Road 950 N, Middletown, IN 47356-9458 | 2014-10-31 |
| 1306062310 | Brittany Coffman | Physician Assistant | 3376 Sumantown Rd, Middletown, MD 21769-6409 | 2007-04-18 |
| 1518090646 | Sharon Lynne Fritz | Physician Assistant | 1055 Summitt Dr, Middletown, OH 45042-3464 | 2007-03-14 |
| 1538173661 | Annette C. Musano | Physician Assistant | 453 Rt 211 E, Middletown, NY 10940-2066 | 2006-07-27 |
| 1053365957 | Bradley P Bruns | Physician Assistant | 2408 Hill Ave, Middletown, OH 45044-4732 | 2006-05-22 |
| 1790788859 | Eric B Neadel | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2005-05-23 |
| 1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1295397222 | Carley Brooke Neinas | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2019-06-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on GERIATRIC HEALTHCARE SERVICES OF GREATER CINCINNATI, 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.