Healthcare Provider Details

I. General information

NPI: 1982409108
Provider Name (Legal Business Name): DAMON RAY CAYSE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: D.J. CAYSE

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7870 E KEMPER RD STE 150
CINCINNATI OH
45249-1675
US

IV. Provider business mailing address

7870 E KEMPER RD STE 150
CINCINNATI OH
45249-1675
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-1060
  • Fax:
Mailing address:
  • Phone: 513-231-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.0038711
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.497422
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: