Healthcare Provider Details

I. General information

NPI: 1174451165
Provider Name (Legal Business Name): TITAN MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 VERNON PL
CINCINNATI OH
45219-2417
US

IV. Provider business mailing address

3021 VERNON PL
CINCINNATI OH
45219-2417
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-6990
  • Fax: 513-751-7228
Mailing address:
  • Phone: 513-751-6990
  • Fax: 513-751-7228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER JONES
Title or Position: MANAGER
Credential:
Phone: 513-751-6990