Provider Demographics
NPI:1396930830
Name:EASTERN HILLS INTERNAL MEDICINE INC
Entity type:Organization
Organization Name:EASTERN HILLS INTERNAL MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-624-3100
Mailing Address - Street 1:1060 NIMITZVIEW DR STE 210
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4351
Mailing Address - Country:US
Mailing Address - Phone:513-624-3100
Mailing Address - Fax:513-232-8600
Practice Address - Street 1:1060 NIMITZVIEW DR STE 210
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4351
Practice Address - Country:US
Practice Address - Phone:513-624-3100
Practice Address - Fax:513-232-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0395639Medicaid
OH0735940Medicaid
OH0987464Medicaid