AGELESS MEDICA LLC – NPI #1558937730
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

AGELESS MEDICA LLC is a provider located in CINCINNATI, OH. NPPES has assigned the NPI number 1558937730 to AGELESS MEDICA LLC on May 28, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGELESS MEDICA LLC below.

NPI Profile for
AGELESS MEDICA LLC

NPI Number
1558937730
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGELESS MEDICA LLC
Primary location
11841 MASON MONTGOMERY RD
CINCINNATI, OH 45249-1748
Phone: (937) 544-4020 Fax: (937) 544-4009
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHRI RAO
PRESIDENT
Phone: (937) 544-4020
Updated
Certification Date
May 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Cincinnati
Endpoint type
CONNECT URL
Endpoint Description
CITY
Content Type
Affiliation
N
Endpoint Location
11841 MASON MONTGOMERY RD,
CINCINNATI, OH 77025-1669