COMMUNITY HEALTH PARTNERS PHYSICIANS INC

Provider Demographics

• NPI: 1598702318
• Name: COMMUNITY HEALTH PARTNERS PHYSICIANS INC
• Entity Type: Organization
• Organization Name: COMMUNITY HEALTH PARTNERS PHYSICIANS INC
• Authorized Official - Title/Position: DIRECTOR
• Authorized Official - Prefix: MR
• Authorized Official - First Name: MARK
• Authorized Official - Last Name: RAU
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 440-988-1009
• Mailing Address - Street 1: PO BOX 636461
• Mailing Address - City: CINCINNATI
• Mailing Address - State: OH
• Mailing Address - Zip Code: 45263-6461
• Mailing Address - Country: US
• Mailing Address - Phone: 440-988-1009
• Mailing Address - Fax: 440-988-1225
• Practice Address - Street 1: 578 N LEAVITT RD
• Practice Address - City: AMHERST
• Practice Address - State: OH
• Practice Address - Zip Code: 44001-1131
• Practice Address - Country: US
• Practice Address - Phone: 440-988-1009
• Practice Address - Fax: 440-988-1225
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-01
• Last Update Date: 2009-12-14

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery		Group - Multi-Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
OH	0236248	Medicaid
OH	9336227	Medicare PIN
OH	0236248	Medicaid
OH	9284956	Medicare PIN
OH	9288915	Medicare PIN
OH	9288917	Medicare PIN
OH	9354561	Medicare PIN
OH	9354565	Medicare PIN
OH	9284955	Medicare PIN
OH	9354564	Medicare PIN
OH	9284951	Medicare PIN
OH	9284957	Medicare PIN
OH	9284959	Medicare PIN
OH	9288919	Medicare PIN
OH	9288913	Medicare PIN
OH	9336222	Medicare PIN
OH	9354562	Medicare PIN
OH	9288918	Medicare PIN
OH	9354563	Medicare PIN
OH	9288916	Medicare PIN
OH	9336224	Medicare PIN
OH	9336226	Medicare PIN
OH	9336221	Medicare PIN
OH	9336223	Medicare PIN
OH	9336229	Medicare PIN