MEDICARE: DR. NED MEHLMAN 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	207RC0000X	Cardiovascular Disease Physician	35-04-1865	OH
2	207RC0000X	Cardiovascular Disease Physician	01086851A	IN
3	207RC0000X	Cardiovascular Disease Physician	32574	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0562610	OTHER	KY	MEDICARE
4	P00884971	OTHER	OH	RAILROAD MEDICARE
5	060036835	OTHER		RR MEDICARE
6	0369007	OTHER	KY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	611300608070	OTHER	OH	CARESOURCE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093712283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NED MEHLMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 635283
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-5283
Country	:	US
Telephone Number	:	859-655-9500
Fax Number	:	859-655-3077

Provider Business Practice Location Address
First Line	:	1500 JAMES SIMPSON JR WAY
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-0801
Country	:	US
Telephone Number	:	859-655-9500
Fax Number	:	859-655-3077

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	12/20/2021

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Directions to “ DR. NED MEHLMAN M.D.” Practice Location

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