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  7. NPI Record 1750343216

ST. ELIZABETH PHYSICIANS
Complete NPI Record 1750343216
Family Medicine in Erlanger, KY

NPI Status: Active since April 03, 2006

Contact Information

1360 DOLWICK DRIVE
ERLANGER, KY
ZIP 41018
Phone: (859) 344-5555
Fax: (859) 344-5552

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Authorized Official Last Name
  24. Authorized Official First Name
  25. Authorized Official Title or Position
  26. Authorized Official Telephone Number
  27. Healthcare Provider Taxonomy Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Healthcare Provider Primary Taxonomy Switch 2
  31. Healthcare Provider Taxonomy Code 3
  32. Healthcare Provider Primary Taxonomy Switch 3
  33. Healthcare Provider Taxonomy Code 4
  34. Healthcare Provider Primary Taxonomy Switch 4
  35. Healthcare Provider Taxonomy Code 5
  36. Healthcare Provider Primary Taxonomy Switch 5
  37. Healthcare Provider Taxonomy Code 6
  38. Healthcare Provider Primary Taxonomy Switch 6
  39. Healthcare Provider Taxonomy Code 7
  40. Healthcare Provider Primary Taxonomy Switch 7
  41. Healthcare Provider Taxonomy Code 8
  42. Healthcare Provider Primary Taxonomy Switch 8
  43. Healthcare Provider Taxonomy Code 9
  44. Healthcare Provider Primary Taxonomy Switch 9
  45. Healthcare Provider Taxonomy Code 10
  46. Healthcare Provider Primary Taxonomy Switch 10
  47. Healthcare Provider Taxonomy Code 11
  48. Healthcare Provider Primary Taxonomy Switch 11
  49. Other Provider Identifier 1
  50. Other Provider Identifier Type Code 1
  51. Other Provider Identifier State 1
  52. Other Provider Identifier 2
  53. Other Provider Identifier Type Code 2
  54. Other Provider Identifier State 2
  55. Other Provider Identifier 3
  56. Other Provider Identifier Type Code 3
  57. Other Provider Identifier State 3
  58. Other Provider Identifier 4
  59. Other Provider Identifier Type Code 4
  60. Other Provider Identifier State 4
  61. Other Provider Identifier 5
  62. Other Provider Identifier Type Code 5
  63. Other Provider Identifier State 5
  64. Other Provider Identifier Issuer 5
  65. Other Provider Identifier 6
  66. Other Provider Identifier Type Code 6
  67. Other Provider Identifier State 6
  68. Other Provider Identifier 7
  69. Other Provider Identifier Type Code 7
  70. Other Provider Identifier State 7
  71. Other Provider Identifier 8
  72. Other Provider Identifier Type Code 8
  73. Other Provider Identifier State 8
  74. Other Provider Identifier 9
  75. Other Provider Identifier Type Code 9
  76. Other Provider Identifier State 9
  77. Other Provider Identifier 10
  78. Other Provider Identifier Type Code 10
  79. Other Provider Identifier State 10
  80. Other Provider Identifier 11
  81. Other Provider Identifier Type Code 11
  82. Other Provider Identifier State 11
  83. Other Provider Identifier 12
  84. Other Provider Identifier Type Code 12
  85. Other Provider Identifier State 12
  86. Other Provider Identifier 13
  87. Other Provider Identifier Type Code 13
  88. Other Provider Identifier State 13
  89. Other Provider Identifier 14
  90. Other Provider Identifier Type Code 14
  91. Other Provider Identifier State 14
  92. Other Provider Identifier 15
  93. Other Provider Identifier Type Code 15
  94. Other Provider Identifier State 15
  95. Other Provider Identifier Issuer 15
  96. Other Provider Identifier 16
  97. Other Provider Identifier Type Code 16
  98. Other Provider Identifier State 16
  99. Other Provider Identifier Issuer 16
  100. Is Organization Subpart
  101. Healthcare Provider Taxonomy Group 1
  102. Healthcare Provider Taxonomy Group 2
  103. Healthcare Provider Taxonomy Group 3
  104. Healthcare Provider Taxonomy Group 4
  105. Healthcare Provider Taxonomy Group 5
  106. Healthcare Provider Taxonomy Group 6
  107. Healthcare Provider Taxonomy Group 7
  108. Healthcare Provider Taxonomy Group 9
  109. Healthcare Provider Taxonomy Group 10
  110. Healthcare Provider Taxonomy Group 11
  111. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1750343216. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750343216
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: ST. ELIZABETH PHYSICIANS
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 1360 DOLWICK DRIVE
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: ERLANGER
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: KY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 410183127
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8593445555
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8593445552
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 1360 DOLWICK DRIVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: ERLANGER
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: KY
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 410183127
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8593445555
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8593445552
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/3/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 9/8/2020
The date that a record was last updated or changed.
Authorized Official Last Name: RANKIN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: MARIA
The first name of the authorized official.
Authorized Official Title or Position: AVP-REVENUE CYCLE
The title or position of the authorized official.
Authorized Official Telephone Number: 8593445555
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 101YM0800X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 103T00000X
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 104100000X
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 106H00000X
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 133V00000X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 152W00000X
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 213ES0103X
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 261QU0200X
Healthcare Provider Primary Taxonomy Switch 8: N
Healthcare Provider Taxonomy Code 9: 363A00000X
Healthcare Provider Primary Taxonomy Switch 9: N
Healthcare Provider Taxonomy Code 10: 363L00000X
Healthcare Provider Primary Taxonomy Switch 10: N
Healthcare Provider Taxonomy Code 11: 207Q00000X
Healthcare Provider Primary Taxonomy Switch 11: Y
Other Provider Identifier 1: 201152300
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: IN
Other Provider Identifier 2: 7100235410
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 2: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2: KY
Other Provider Identifier 3: 2355115
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 3: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3: OH
Other Provider Identifier 4: 78902020
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 4: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 4: KY
Other Provider Identifier 5: DR8623
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 5: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 5: IN
Other Provider Identifier Issuer 5: RAILROAD
Other Provider Identifier 6: 7100018930
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 6: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 6: KY
Other Provider Identifier 7: 7100235400
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 7: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 7: KY
Other Provider Identifier 8: 201157570
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 8: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 8: IN
Other Provider Identifier 9: 65926743
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 9: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 9: KY
Other Provider Identifier 10: 2501152300
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 10: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 10: IN
Other Provider Identifier 11: 7100271890
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 11: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 11: KY
Other Provider Identifier 12: 200993310
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 12: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 12: IN
Other Provider Identifier 13: 7100311260
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 13: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 13: KY
Other Provider Identifier 14: 78003852
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 14: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 14: KY
Other Provider Identifier 15: DQ9133
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 15: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 15: OH
Other Provider Identifier Issuer 15: RAILROAD
Other Provider Identifier 16: CC3684
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 16: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 16: KY
Other Provider Identifier Issuer 16: RAILROAD
Is Organization Subpart: N
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 9/8/2020