Healthcare Provider Details

I. General information

NPI: 1336483205
Provider Name (Legal Business Name): JOSHUA JOHN LUMPKIN P.A.-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 W GALBRAITH RD STE 190
CINCINNATI OH
45231-6002
US

IV. Provider business mailing address

740 W GALBRAITH RD STE 190
CINCINNATI OH
45231-6002
US

V. Phone/Fax

Practice location:
  • Phone: 513-346-3399
  • Fax: 513-853-5543
Mailing address:
  • Phone: 513-346-3399
  • Fax: 513-853-5543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.003771
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number10001473A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: