MEDICARE: DR. JOHN C LINZ 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
1	207X00000X	Orthopaedic Surgery Physician	35.076699	OH
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	35.076699	OH

General Provider Information

NPI Number	:	1053316315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN C LINZ M.D.

Provider Business Mailing Address
First Line	:	560 S LOOP RD
Second Line	:
City	:	EDGEWOOD
State	:	KY
Zip	:	41017-3405
Country	:	US
Telephone Number	:	859-301-2663
Fax Number	:	859-817-7848

Provider Business Practice Location Address
First Line	:	4355 FERGUSON DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-5136
Country	:	US
Telephone Number	:	513-232-2663
Fax Number	:	859-817-7848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/09/2021

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Directions to “ DR. JOHN C LINZ M.D.” Practice Location

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