Healthcare Provider Details

I. General information

NPI: 1013232909
Provider Name (Legal Business Name): TRIHEALTH ONCOLOGY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 CHEVIOT RD
CINCINNATI OH
45247-7069
US

IV. Provider business mailing address

5520 CHEVIOT RD
CINCINNATI OH
45247-7069
US

V. Phone/Fax

Practice location:
  • Phone: 513-451-4033
  • Fax: 513-451-4118
Mailing address:
  • Phone: 513-451-4033
  • Fax: 513-451-4118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35-07-3663-B
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35-87785
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35-042128
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35-075102
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35-081652
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35-04-4152
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35-089253
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35-058268
License Number StateOH
# 9
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50-00-2071
License Number StateOH
# 10
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberNP-09365
License Number StateOH

VIII. Authorized Official

Name: ELAINE M BEDINGHAUS
Title or Position: BILLING MANAGER
Credential:
Phone: 513-451-4033