St. Joseph Orphanage | |
4721 Reading Rd Cincinnati OH 45237-6107 | |
(513) 741-3100 | |
(513) 741-5686 |
Full Name | St. Joseph Orphanage |
---|---|
Speciality | Community/Behavioral Health |
Location | 4721 Reading Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Eric Cummins (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5137413100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
St. Joseph Orphanage 4721 Reading Rd Cincinnati OH 45237-6107 Ph: (513) 741-3100 | St. Joseph Orphanage 4721 Reading Rd Cincinnati OH 45237-6107 Ph: (513) 741-3100 |
NPI Number | 1194882092 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/20/2024 |
Certification Date | 08/20/2024 |
Medicare PECOS PAC ID | 5890081665 |
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Medicare Enrollment ID | O20160902000036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194882092 | NPI | - | NPPES |
2531960 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 219 (Ohio) | Primary |
Provider Name | Mary A Jaffe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497082903 PECOS PAC ID: 3072653187 Enrollment ID: I20091222000358 |
Provider Name | Regina Woodson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730436395 PECOS PAC ID: 9133372162 Enrollment ID: I20121226000392 |
Provider Name | Rose Marie Pryor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245281203 PECOS PAC ID: 4284644691 Enrollment ID: I20130214000287 |
Provider Name | Joseph A Rieman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619138724 PECOS PAC ID: 7719127703 Enrollment ID: I20130716000620 |
Provider Name | Epie Ajebe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861729071 PECOS PAC ID: 3072745413 Enrollment ID: I20140416002513 |
Provider Name | Lindsay R Bergman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710197173 PECOS PAC ID: 5496075376 Enrollment ID: I20150515001254 |
Provider Name | April Abaecherli-shore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881060267 PECOS PAC ID: 4284938390 Enrollment ID: I20160210002336 |
Provider Name | Maryellen Smolenski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255673257 PECOS PAC ID: 7810283587 Enrollment ID: I20160906001558 |
Provider Name | Krista D Porterfield Spurling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073713129 PECOS PAC ID: 3678861242 Enrollment ID: I20161013002644 |
Provider Name | Jasmine N Shafto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336177856 PECOS PAC ID: 1951678440 Enrollment ID: I20170605002459 |
Provider Name | Ann M Weber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073932026 PECOS PAC ID: 2567725799 Enrollment ID: I20180420001616 |
Provider Name | Shantel Zwissler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538791983 PECOS PAC ID: 9133541089 Enrollment ID: I20200622002776 |
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