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MERCY HEALTH PHYSICIANS CINCINNATI LLC NPI 1801292792


NPI Information

NPI: 1801292792
Provider Name: MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Doing Business As: MERCY HEALTH KENWOOD ORTHO & SPINE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 36D0690060

Address:
4750 E GALBRAITH RD STE 105
CINCINNATI, OH
ZIP 45236
Phone: (513) 985-0741
Get Directions

MERCY HEALTH PHYSICIANS CINCINNATI, LLC is an orthopaedic surgery in Cincinnati, OH. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MERCY HEALTH PHYSICIANS CINCINNATI, LLC NPI is 1801292792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Health Kenwood Ortho & Spine.

The provider's business location address is:

4750 E GALBRAITH RD STE 105
CINCINNATI, OH
ZIP 45236-706
Phone: (513) 985-0741
Fax: (513) 981-4346

The provider's authorized official is Erin R Fries .
The authorized official title is Cmo, Medical Group and has the following contact phone number (513) 952-5045.

The CLIA number assigned to this NPI record is 36D0690060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2014 and was last updated on 6/4/2020.


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
1207R00000XInternal MedicineNo
2207X00000XOrthopaedic SurgeryYes

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
10270942MEDICAIDOHIO

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: 11/14/2023

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