Provider Demographics
NPI: | 1801840434 |
---|---|
Name: | UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC |
Entity Type: | Organization |
Organization Name: | UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE VP/CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HUGH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HINDS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 513-585-8720 |
Mailing Address - Street 1: | PO BOX 636256 |
Mailing Address - Street 2: | |
Mailing Address - City: | CINCINNATI |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45263-6256 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 513-245-3600 |
Mailing Address - Fax: | 513-245-3672 |
Practice Address - Street 1: | 3188 BELLEVUE AVE |
Practice Address - Street 2: | |
Practice Address - City: | CINCINNATI |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45219-2369 |
Practice Address - Country: | US |
Practice Address - Phone: | 513-584-1000 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-05-19 |
Last Update Date: | 2024-03-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
No | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | CC2555 | Other | RAIL ROAD MEDICARE |
IN | 300077936 | Medicaid | |
KY | 65929291 | Medicaid | |
KY | 7100202140 | Medicaid | |
KY | 7100191190 | Medicaid | |
KY | 7100460890 | Medicaid | |
KY | 95900296 | Medicaid | |
KY | 7100916130 | Medicaid | |
KY | 7100187660 | Medicaid | |
OH | 2036602 | Medicaid | |
KY | 7100458380 | Medicaid | |
IN | 201071350 | Medicaid | |
KY | 7100641580 | Medicaid | |
KY | 78901360 | Medicaid |