OrganizationActive
Timeless Aesthetics, LLC
NPI 1194950550 · Family Medicine Physician · Cincinnati, OH
Provider details
- NPI number
- 1194950550
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beth Roch, Credentialing Coordinator(513) 619-5006
- License
- 1594262 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3260 Westbourne Dr
Cincinnati, OH 45248-5107
Phone: (513) 451-9600
Fax: (513) 347-2116
Street-level locationGet directions
Mailing address
3260 Westbourne Dr
Cincinnati, OH 45248-5107
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2009-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.