Healthcare Provider Details

I. General information

NPI: 1518886936
Provider Name (Legal Business Name): CHRISTOPHER DOUGLAS MCPHERSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11955 NAVONA CT
CINCINNATI OH
45246-2609
US

IV. Provider business mailing address

11955 NAVONA CT
CINCINNATI OH
45246-2609
US

V. Phone/Fax

Practice location:
  • Phone: 513-312-2177
  • Fax:
Mailing address:
  • Phone: 513-312-2177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: