MERCY HEALTH PHYSICIANS CINCINNATI, LLC
NPI 1184020067
Orthopaedic Surgery in Cincinnati, OH

NPI Status: Active since November 05, 2014

Contact Information

2859 BOUDINOT AVE
SUITE 304
CINCINNATI, OH
ZIP 45238
Phone: (513) 981-6784
Fax: (513) 981-4346

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 36D2148244
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-27-2025

About MERCY HEALTH PHYSICIANS CINCINNATI, LLC

This page provides the complete NPI Profile along with additional information for Mercy Health Physicians Cincinnati, Llc, a provider established in Cincinnati, Ohio operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1184020067 assigned on November 2014. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Mercy Health Physicians Cincinnati, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Donna Fultz (Corporate Manager)

NPI
1184020067
Provider Name
MERCY HEALTH PHYSICIANS CINCINNATI, LLC
Entity Type
Organization
Location Address
2859 BOUDINOT AVE SUITE 304 CINCINNATI, OH 45238
Location Phone
(513) 981-6784
Location Fax
(513) 981-4346
Mailing Address
PO BOX 632110 CINCINNATI, OH 45263
Mailing Phone
(513) 981-6610
Mailing Fax
(513) 981-4346
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-05-2014
Last Update Date
11-05-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DONNA FULTZ

Authorized Official Title
CORPORATE MANAGER
Authorized Official Phone
(513) 981-6610

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9313197MEDICARE PIN (08)OH 
0270942MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2148244
Facility Type
Physician Office
Certificate Effective Date
December 28, 2023
Certificate Expiration Date
December 27, 2025
Laboratory Director
KATRINA L. FERNANDEZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mercy Health Physicians Cincinnati, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184020067, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 0 + 2 + 0 + 0 + 1 + 2 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1184020067.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Ophthalmology
2859 BOUDINOT AVE, SUITE 308
CINCINNATI, OH 45238
Chiropractor
2859 BOUDINOT AVE, SUITE 304
CINCINNATI, OH 45238
Family Medicine
2859 BOUDINOT AVE, SUITE 107
CINCINNATI, OH 45238
Physical Therapist
2859 BOUDINOT AVE, SUITE 205
CINCINNATI, OH 45238
Optometrist
2859 BOUDINOT AVE, STE 301
CINCINNATI, OH 45238
Ophthalmology
2859 BOUDINOT AVE, STE 301
CINCINNATI, OH 45238
Podiatrist (Foot & Ankle Surgery)
2859 BOUDINOT AVE, SUITE 201
CINCINNATI, OH 45238
Internal Medicine
2859 BOUDINOT AVE, SUITE 207
CINCINNATI, OH 45238
Obstetrics & Gynecology
2859 BOUDINOT AVE, MOB A, STE 207
CINCINNATI, OH 45238
Dermatology
2859 BOUDINOT AVE, SUITE 307
CINCINNATI, OH 45238
Occupational Therapist
2859 BOUDINOT AVE
CINCINNATI, OH 45238
Occupational Therapist
2859 BOUDINOT AVE
CINCINNATI, OH 45238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184020067, enumerated as an "organization" on November 05, 2014.

The provider is located at 2859 BOUDINOT AVE SUITE 304 CINCINNATI, OH 45238 and the phone number is (513) 981-6784.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.