Healthcare Provider Details

I. General information

NPI: 1376129890
Provider Name (Legal Business Name): ENRIQUE CEPPI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 STETSON STREET SUITE 3200
CINCINNATI OH
45219-4526
US

IV. Provider business mailing address

260 STETSON ST STE 3200
CINCINNATI OH
45219-2472
US

V. Phone/Fax

Practice location:
  • Phone: 513-721-2221
  • Fax: 513-585-3254
Mailing address:
  • Phone: 513-585-3238
  • Fax: 513-585-3254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.151590
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.151590
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: