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HEALTHSOURCE: EASTGATE PEDIATRICS
NPI 1780701417
Clinic/Center - Primary Care in Cincinnati, OH

Active since March 26, 2007
4627 AICHOLTZ RD, CINCINNATI, OH 45244(513) 753-2820(513) 753-2824 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Apr 30, 2019 (2 updates tracked since 2019).

About Healthsource: Eastgate Pediatrics NPPES

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

HEALTHSOURCE: EASTGATE PEDIATRICS (NPI 1780701417) is a healthcare organization registered as a primary care in Cincinnati, Ohio and active in the NPI registry since March 2007. The organization lists Joseph W Prather Ii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780701417
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHSOURCE OF OHIO, INC.
Location Address4627 AICHOLTZ RDCincinnati, OH 45244-1447
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4011 · Fax (513) 576-1020
Phone(513) 753-2820
Fax(513) 753-2824
Organization SubpartNo
Authorized OfficialJoseph W Prather IiCeo · (513) 707-4041
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1780701417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4627 AICHOLTZ RD, Cincinnati, OH 45244
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Other Names 1

Doing Business AsHealthsource: Eastgate Pediatrics

Other Identifiers 1

Medicaid0300966OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 17

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

JILLIAN SCHAFFELD D.O.
Pediatrics
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
MONA CHOUEIRY M.D.
Pediatrics
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
DR. MYANH CONG DDS
Dentist
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-5282
DR. TANYA KILEY SACKRIDER DDS
Dentist (General Practice)
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2821
DR. IVANNA SOTO DDS
Dentist
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
HEALTHSOURCE OF OHIO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
BRANDI MCCONNELL PA-C
Physician Assistant
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
REBEKAH R LONG M.D.
Pediatrics
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820

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 Healthsource Of Ohio, Inc.'s NPI number?

The NPI number for Healthsource Of Ohio, Inc. is 1780701417. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Healthsource: Eastgate Pediatrics.

Where is Healthsource Of Ohio, Inc. located?

Healthsource Of Ohio, Inc. is located at 4627 Aicholtz Rd, Cincinnati, OH 45244. The listed phone number is (513) 753-2820.

What is Healthsource Of Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Healthsource Of Ohio, Inc. accept?

Health plans from Molina Healthcare list Healthsource Of Ohio, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthsource Of Ohio, Inc. was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.