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NPI 1104426279 · Primary Care Clinic/Center · Cincinnati, OH
Provider details
- NPI number
- 1104426279
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clint Cornell, Manager(513) 802-6551
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8250 Kenwood Crossing Way Ste 201
Cincinnati, OH 45236-3669
Phone: (513) 713-0177
Street-level locationGet directions
Mailing address
8250 Kenwood Crossing Way Ste 201
Cincinnati, OH 45236-3669
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2023-04-06
- Certified
- 2023-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.