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

Tiffany Crider

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790216273

Tiffany Crider is a Family Practice in Lebanon, Ohio. Qualified in 2017, 9 years ago. Practices with Healthsource of Ohio Inc, a 56-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1231 Columbus Ave Unit A1
Lebanon, OH 45036-8196
Phone: (513) 695-4495
Fax: (513) 228-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34016113 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790216273
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 25, 2017
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Healthsource Of Ohio Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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