Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Provider Services LLC

Organization Nurse Practitioner · NPI 1518726264

Physician Provider Services LLC is a Nurse Practitioner in Blue Ash, Ohio. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11690 Grooms Rd
Blue Ash, OH 45242-1412
Phone: (800) 526-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11690 Grooms Rd, Blue Ash, OH 45242-1412 — (800) 526-6797

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1518726264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Creese — Ceo · (317) 672-8600
NPI enumeratedMarch 15, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address1 Indiana Sq Ste 2060, Indianapolis, IN 46204-2020

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