Provider Demographics
NPI:1104339928
Name:OHIO HEALTH PLUS LLC
Entity type:Organization
Organization Name:OHIO HEALTH PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-236-0054
Mailing Address - Street 1:1420 E MCMILLAN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2225
Mailing Address - Country:US
Mailing Address - Phone:513-236-0054
Mailing Address - Fax:513-221-0046
Practice Address - Street 1:1420 E MCMILLAN ST FL 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2225
Practice Address - Country:US
Practice Address - Phone:513-236-0054
Practice Address - Fax:513-221-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083658207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty