Healthcare Provider Details

I. General information

NPI: 1497854152
Provider Name (Legal Business Name): CRESCENT HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6442 CEDAR CREEK CT
MASON OH
45040-7649
US

IV. Provider business mailing address

PO BOX 635221
CINCINNATI OH
45263-0043
US

V. Phone/Fax

Practice location:
  • Phone: 513-226-3687
  • Fax: 513-336-6359
Mailing address:
  • Phone: 513-891-7574
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SABA A ANSARI
Title or Position: OWNER
Credential: MD
Phone: 513-569-6780