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NPI Code Detail

MEDICARE: RUTH ALLENDOERFER-FERNANDEZ M.D.

MEDICARE: RUTH ALLENDOERFER-FERNANDEZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35080808AOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013964246
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH ALLENDOERFER-FERNANDEZ M.D.
Provider Business Mailing Address
First Line : 237 WILLIAM HOWARD TAFT RD
Second Line : 2ND FLOOR, CBO2-3, ATTN: CREDENTIALING
City : CINCINNATI
State : OH
Zip : 45219-2610
Country : US
Telephone Number : 513-263-8551
Fax Number : 513-366-4480
Provider Business Practice Location Address
First Line : 4320 BRIDGETOWN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-4428
Country : US
Telephone Number : 513-574-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/23/2020

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