Organization
TRIHEALTH PHYSICIAN INSTITUTE
Active
Parent organization
TRIHEALTH PHYSICIAN INSTITUTE
Other names
GEROS Physician Extenders
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIHEALTH PHYSICIAN INSTITUTE
Authorized official
DONNA S NIENABER (VICE PRESIDENT)
(513) 862-1400
Entity
Organization
Contact information
Practice address
619 OAK ST, 4 - WEST, CINCINNATI, OH 45206-1613
(513) 569-6780
(513) 569-6738
Mailing address
PO BOX 635257, CINCINNATI, OH 45263-5257
(513) 569-5027
(513) 569-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50001078
OH
363L00000X
Nurse Practitioner
Primary
NP06244
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0998783
—
OH
Enumeration date
05/17/2006
Last updated
04/18/2013
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