Provider Demographics
NPI:1902385990
Name:PEOPLES, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7545 BEECHMONT AVE STE M
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4231
Mailing Address - Country:US
Mailing Address - Phone:513-321-4333
Mailing Address - Fax:513-232-0100
Practice Address - Street 1:7545 BEECHMONT AVE STE M
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4231
Practice Address - Country:US
Practice Address - Phone:513-321-4333
Practice Address - Fax:513-232-0100
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.009617363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant