Organization
TRIHEALTH W. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE AYLWARD (PHYSICIAN COMPLIANCE OFFICER)
(513) 569-6302
Entity
Organization
Contact information
Practice address
7759 UNIVERSITY DR, SUITE D, WEST CHESTER, OH 45069-6578
(513) 569-6422
(513) 569-5199
Mailing address
PO BOX 636406, CINCINNATI, OH 45263-0001
(513) 853-4749
(513) 853-4740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100189620
—
KY
05
—
7100189900
—
KY
05
—
7100253770
—
KY
05
—
7100259480
—
KY
Enumeration date
04/26/2011
Last updated
03/10/2015
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