Healthcare Provider Details

I. General information

NPI: 1902385990
Provider Name (Legal Business Name): ELIZABETH PEOPLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 BEECHMONT AVE STE M
CINCINNATI OH
45255-4231
US

IV. Provider business mailing address

7545 BEECHMONT AVE STE M
CINCINNATI OH
45255-4231
US

V. Phone/Fax

Practice location:
  • Phone: 513-321-4333
  • Fax: 513-232-0100
Mailing address:
  • Phone: 513-321-4333
  • Fax: 513-232-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009617
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: