MEDICARE: TRIHEALTH OS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	35.042929	OH

General Provider Information

NPI Number	:	1619307626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIHEALTH OS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 637783
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7783
Country	:	US
Telephone Number	:	513-853-4731
Fax Number	:	513-569-5199

Provider Business Practice Location Address
First Line	:	538 OAK ST
Second Line	:	SUITE 200
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2554
Country	:	US
Telephone Number	:	513-961-4263
Fax Number	:	513-961-1503

Authorized Official
Title or Position	:	SENIOR VP COUNSEL
Name	:	MRS. DONNA NIENABER
Credential	:
Telephone Number	:	513-569-6062

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	11/13/2013

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Directions to “TRIHEALTH OS, LLC ” Practice Location

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