Organization
TRIHEALTH G LLC
Active
Organization
TRIHEALTH G LLC
Active
Other names
Group Health
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA NIENABER (SENIOR VP CORPORATE COUNSEL)
(513) 569-6062
Entity
Organization
Contact information
Practice address
10547 MONTGOMERY RD, STE 400, MONTGOMERY, OH 45242-4418
(513) 246-7000
(513) 872-7825
Mailing address
4685 FOREST AVE STE N, CINCINNATI, OH 45212-3397
(513) 569-6062
(513) 569-6233
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
01/28/2015
Last updated
01/28/2015
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