Organization · Type 2 NPI

Community Impact, Inc.

Adolescent Medicine (Family Medicine) Physician · Cincinnati, OH

NPI number 1740283282 Active

Practice location

201 E 5th St Fl 19
Cincinnati, OH 45202-4152

Fax (283) 220-8375

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000XNone listed
Voluntary or Charitable Agency 251V00000XNone listed
Birthing Clinic/Center 261QB0400XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

2 other providers at this address

About NPI 1740283282

Community Impact, Inc.'s National Provider Identifier is 1740283282, issued on May 29, 2005. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Cincinnati, OH. The record was last updated on Sep 17, 2026.