Healthcare Provider Details

I. General information

NPI: 1093643595
Provider Name (Legal Business Name): TIMOTHY BARRON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 RED BANK RD STE 120
CINCINNATI OH
45227-3421
US

IV. Provider business mailing address

3960 RED BANK RD STE 120
CINCINNATI OH
45227-3421
US

V. Phone/Fax

Practice location:
  • Phone: 513-586-2177
  • Fax:
Mailing address:
  • Phone: 513-586-2177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY BARRON
Title or Position: OWNER
Credential:
Phone: 513-504-6812