MERCY HEALTH PHYSICIANS CINCINNATI, LLC (NPI# 1992101661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992101661 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PHYSICIANS CINCINNATI, LLC |
| Practice Address |
3050 Mack Rd Suite 200 Fairfield OH 45014-5379 |
| Mailing Address |
1701 Mercy Health Pl Cincinnati OH 45237-6147 |
| Practice Telephone | 5139818784 |
| Practice Fax Number | 5139814346 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | ERIN R FRIES (CMO, MEDICAL GROUP) |
| Authorized Official Telephone | 5139525045 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH-FAIRFIELD ORTHO & SPINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0270942 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518380393 | Mercy Health Physicians Cincinnati, LLC | Durable Medical Equipment & Medical Supplies | 5236 Socialville Foster Rd, Mason, OH 45040-9302 | 2014-01-29 |
| 1205887023 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 1701 Mercy Health Pl, Cincinnati, OH 45237-6147 | 2006-05-15 |
| 1417401381 | Mercy Health Physicians Cincinnati, LLC | Clinic/Center | 204 Patrick Ave, Urbana, OH 43078-2302 | 2016-08-09 |
| 1093103731 | Mercy Health Physicians Cincinnati, LLC | Surgery | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2015-01-05 |
| 1801292578 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 10450 New Haven Rd, Harrison, OH 45030-2780 | 2014-11-07 |
| 1912303793 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 3301 Mercy Health Blvd, Suite 450, Cincinnati, OH 45211-1105 | 2014-11-06 |
| 1184020067 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 2859 Boudinot Ave, Suite 304, Cincinnati, OH 45238-1606 | 2014-11-05 |
| 1801292792 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 4750 E Galbraith Rd Ste 105, Cincinnati, OH 45236-6706 | 2014-11-05 |
| Street Address |
3050 MACK RD SUITE 200 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-5379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688275 | Oncology/ Hematology Care, Inc. | Internal Medicine | 3050 Mack Rd, Suite 300, Fairfield, OH 45014-5379 | 2005-06-13 |
| 1033676739 | Emily Marie Sillies | Dietitian, Registered | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2019-02-28 |
| 1154817005 | Haley Schlottmann | Nurse Practitioner | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2018-07-03 |
| 1922411966 | Kevin Rock | Physical Therapist | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2014-06-07 |
| 1073945267 | Kelly M. Pitzer | Physician Assistant | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2013-07-30 |
| 1912341231 | Esineya N Chigaga | Pediatrics | 3050 Mack Rd, Ml 11032, Fairfield, OH 45014-5379 | 2013-04-18 |
| 1609163260 | Nicholas Brand Pleat | Internal Medicine | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2011-07-05 |
| 1437444981 | Douglas Benjamin Berg | Surgery | 3050 Mack Rd, Suite 310, Fairfield, OH 45014-5379 | 2011-06-13 |
| 1932337649 | Heeran Abawi | Family Medicine | 3050 Mack Rd, Ste 205, Fairfield, OH 45014-5379 | 2009-07-01 |
| 1528230380 | Tri-state Pain Management Service Inc | Pain Medicine | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366578585 | James Owen Gemmer | Orthopaedic Surgery | 11 Country Club Dr, Fairfield, CA 94534-1305 | 2007-02-23 |
| 1972650281 | John Warren Axline | Orthopaedic Surgery | 401 Silver Spring Rd, Fairfield, CT 06824-1944 | 2007-01-05 |
| 1104858877 | Arthur Greg Geiger | Orthopaedic Surgery | 1275 Post Rd Ste 208, Fairfield, CT 06824-6024 | 2006-07-06 |
| 1780679340 | Jay David Parkin | Orthopaedic Surgery | 2500 Hilborn Rd, Fairfield, CA 94534-1097 | 2005-09-20 |
| 1861491557 | Peter B. Stovell | Orthopaedic Surgery | 164 Greenfield Hill Rd, Fairfield, CT 06824-2123 | 2005-07-15 |
| 1932578044 | Orthocincy | Orthopaedic Surgery | 5900 Boymel Dr, Fairfield, OH 45014-5526 | 2015-09-18 |
| 1255775623 | Todd Alexander Morrison | Orthopaedic Surgery | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2013-04-29 |
| 1881961233 | Edward Staub Md PC | Orthopaedic Surgery | 1305 Post Rd, Fairfield, CT 06824-6016 | 2011-11-29 |
| 1922331784 | Cullen K Griffith | Orthopaedic Surgery | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2009-09-11 |
| 1831358027 | David F La Rochelle Md A Medical Corporation | Orthopaedic Surgery | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2008-06-03 |
| Find all providers in FAIRFIELD | ||||
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| 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.