MEDICARE: TRIHEALTH PHYSICIAN INSTITUTE

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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) 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	:	1831216506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIHEALTH PHYSICIAN INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 632531
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2531
Country	:	US
Telephone Number	:	513-569-5027
Fax Number	:	513-569-5199

Provider Business Practice Location Address
First Line	:	10475 MONTGOMERY RD
Second Line	:	STE 1D
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5201
Country	:	US
Telephone Number	:	513-865-1690
Fax Number	:	513-865-1691

Authorized Official
Title or Position	:	SR VICE PRESIDENT
Name	:	MS. DONNA S NIENABER
Credential	:
Telephone Number	:	513-862-1400

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	04/18/2013

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Directions to “TRIHEALTH PHYSICIAN INSTITUTE ” Practice Location

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