1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Specialist
  6. NPI Profile

WESTSIDE PRIMARY CARE, LLC
NPI 1720520612
Specialist in Cincinnati, OH

Active since November 09, 2016
4342 HARRISON AVE, CINCINNATI, OH 45211(513) 898-9111(844) 519-2824 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2016, Nov 9, 2016 (2 updates tracked since 2016).

About Westside Primary Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE PRIMARY CARE, LLC (NPI 1720520612) is a healthcare organization registered as a specialist in Cincinnati, Ohio and active in the NPI registry since November 2016. The organization lists Shannon Dicecco, Billing Admin., as its authorized official.

NPPES Registry Identity

NPI1720520612
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWESTSIDE PRIMARY CARE, LLC
Location Address4342 HARRISON AVECincinnati, OH 45211-3322
Mailing Address4342 Harrison AveCincinnati, OH 45211-3322 · (513) 898-9111 · Fax (844) 519-2824
Phone(513) 898-9111
Fax(844) 519-2824
Organization SubpartNo
Authorized OfficialShannon DiceccoBilling Admin. · (513) 898-9111
Enumeration DateNovember 9, 2016
Last NPPES UpdateDecember 14, 20162 updates tracked since enumeration
✔ NPI 1720520612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 3504319
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4342 HARRISON AVE, Cincinnati, OH 45211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALIA MAYERS
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
ANGELA CHILDS
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
DONIQUIA ROGERS
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
CARLOS GIPSON
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
LERON M DAVIS
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
TANYA MINDHARDT
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
GELAWN RAKEEM GUYN
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500
BELINDA SMITH
Case Manager/Care Coordinator
4342 HARRISON AVE
CINCINNATI, OH 45211
Hamilton County (513) 574-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Primary Care, LLC's NPI number?

The NPI number for Westside Primary Care, LLC is 1720520612. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Westside Primary Care, LLC located?

Westside Primary Care, LLC is located at 4342 Harrison Ave, Cincinnati, OH 45211. The listed phone number is (513) 898-9111.

What is Westside Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Westside Primary Care, LLC was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.