MEDICARE: DR. GRETCHEN MARIE FERMANN 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	207V00000X	Obstetrics & Gynecology Physician	35069974	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160047214	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0701495	OTHER	OH	UNITED HEALTHCARE
3	2158940	OTHER	OH	AETNA
4	000000074188	OTHER	OH	ANTHEM
5	30272773005	OTHER	OH	MEDICAL MUTUAL
6	30272773006	OTHER	OH	MEDICAL MUTUAL
7	311575051038	OTHER	OH	CARESOURCE
8	287938	OTHER	OH	AMERIGROUP
9	69974	OTHER	OH	HUMANA

General Provider Information

NPI Number	:	1255334553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRETCHEN MARIE FERMANN M.D.

Provider Business Mailing Address
First Line	:	3200 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7495 STATE RD
Second Line	:	STE 325
City	:	CINCINNATI
State	:	OH
Zip	:	45255-6402
Country	:	US
Telephone Number	:	513-233-2000
Fax Number	:	513-624-2684

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	11/17/2025

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Directions to “ DR. GRETCHEN MARIE FERMANN M.D.” Practice Location

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