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Organization
UNIVERSITY INTERNAL MEDICINE ASSOCIATES, INC.
Active
Organization
UNIVERSITY INTERNAL MEDICINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIPTON FORD (EXECUTIVE DIRECTOR)
(513) 558-4231
Entity
Organization
Contact information
Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 245-3600
(513) 245-3672
Mailing address
2830 VICTORY PKWY, CENTRAL CREDENTIALING, CINCINNATI, OH 45206-1785
(513) 245-3431
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094000
—
IN
05
—
200430710
—
IN
05
—
2445116
—
OH
05
—
65906893
—
KY
05
—
78902558
—
KY
05
—
95901161
—
KY
01
—
CB4920
RAIL ROAD MEDICARE
OH
01
—
CC3432
RAIL ROAD MEDICARE
OH
01
—
CD4194
RAIL ROAD MEDICARE
OH
01
—
CF8930
RAIL ROAD MEDICARE
OH
01
—
CH9791
RAILROAD MEDICARE
OH
01
—
CN4337
RAIL ROAD MEDICARE
OH
Enumeration date
04/25/2006
Last updated
01/03/2011
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