MEDICARE: TRIHEALTH G LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	208600000X	Surgery Physician
3	207RH0003X	Hematology & Oncology Physician
4	207VM0101X	Maternal & Fetal Medicine Physician
5	208M00000X	Hospitalist Physician
6	363L00000X	Nurse Practitioner
7	2084P0800X	Psychiatry Physician
8	291U00000X	Clinical Medical Laboratory
9	207V00000X	Obstetrics & Gynecology Physician
10	207RC0000X	Cardiovascular Disease Physician
11	207Q00000X	Family Medicine Physician
12	207RG0100X	Gastroenterology Physician
13	207RP1001X	Pulmonary Disease Physician
14	363A00000X	Physician Assistant
15	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295862944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIHEALTH G LLC

Provider Business Mailing Address
First Line	:	4685 FOREST AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3397
Country	:	US
Telephone Number	:	135-853-4684
Fax Number	:	513-852-8525

Provider Business Practice Location Address
First Line	:	379 DIXMYTH AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2475
Country	:	US
Telephone Number	:	513-246-7000
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MICHAEL CROFTON
Credential	:
Telephone Number	:	513-569-6577

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	01/05/2026

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Directions to “TRIHEALTH G LLC ” Practice Location

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