Healthcare Provider Details

I. General information

NPI: 1629181763
Provider Name (Legal Business Name): TRIHEALTH PHYSICIAN INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 CLIFTON AVE SUITE 100
CINCINNATI OH
45220-3027
US

IV. Provider business mailing address

PO BOX 635063
CINCINNATI OH
45263-5063
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-1888
  • Fax: 513-862-3616
Mailing address:
  • Phone: 513-569-5027
  • Fax: 513-569-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DONNA S NIENABER
Title or Position: CORPORATE SECRETARY/BOARD MEMBER
Credential:
Phone: 513-862-1400