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MERCY HEALTH PHYSICIANS CINCINNATI LLC NPI 1093103731


NPI Information

NPI: 1093103731
Provider Name: MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Doing Business As: MERCY HEALTH CARDIOVASCULAR, THORACIC, VASCULAR AND ENDOVASCULAR

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization

CLIA Number: 36D0346002

Address:
4030 SMITH RD
SUITE 300
CINCINNATI, OH
ZIP 45209
Phone: (513) 421-3494
Get Directions

MERCY HEALTH PHYSICIANS CINCINNATI, LLC is a thoracic surgery cardiothoracic vascular surgery in Cincinnati, OH. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. MERCY HEALTH PHYSICIANS CINCINNATI, LLC NPI is 1093103731. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Health Cardiovascular, Thoracic, Vascular And Endovascular.

The provider's business location address is:

4030 SMITH RD
SUITE 300
CINCINNATI, OH
ZIP 45209-957
Phone: (513) 421-3494
Fax: (513) 345-2606

The provider's authorized official is Cassie Havlin .
The authorized official title is Payer Credentialing and has the following contact phone number (513) 981-4684.

The CLIA number assigned to this NPI record is 36D0346002 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 1/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19313197MEDICARE PINOHIO
20270942MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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