Provider Demographics
NPI:1215033659
Name:INTERNISTS OF CINCINNATI, INC.
Entity Type:Organization
Organization Name:INTERNISTS OF CINCINNATI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:EILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-871-5900
Mailing Address - Street 1:2752 ERIE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2207
Mailing Address - Country:US
Mailing Address - Phone:513-871-5900
Mailing Address - Fax:513-871-5970
Practice Address - Street 1:2752 ERIE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2207
Practice Address - Country:US
Practice Address - Phone:513-871-5900
Practice Address - Fax:513-871-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty