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 |