MEDICARE: UNIVERSITY OF CINCINNATI SURGEONS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363AS0400X	Surgical Physician Assistant
2	2086S0102X	Surgical Critical Care Physician
3	2086S0127X	Trauma Surgery Physician
4	363A00000X	Physician Assistant
5	363AM0700X	Medical Physician Assistant
6	363L00000X	Nurse Practitioner
7	208600000X	Surgery Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1093786949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF CINCINNATI SURGEONS, INC.

Provider Business Mailing Address
First Line	:	2830 VICTORY PKWY
Second Line	:	STE. 320
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1785
Country	:	US
Telephone Number	:	513-245-3300
Fax Number	:	513-245-3340

Provider Business Practice Location Address
First Line	:	231 ALBERT SABIN WAY
Second Line	:	ML 0558
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0001
Country	:	US
Telephone Number	:	513-245-3300
Fax Number	:	513-245-3340

Authorized Official
Title or Position	:	CFO
Name	:	MR. J TALIESIN RICHARDS
Credential	:
Telephone Number	:	513-245-3300

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	01/29/2010

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