MEDICARE: DR. JODI MICHELLE HARVEY MD

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	207R00000X	Internal Medicine Physician	35.092979	OH
2	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	38773	KY

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

General Provider Information

NPI Number	:	1396708483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODI MICHELLE HARVEY MD

Provider Business Mailing Address
First Line	:	4685 FOREST AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3397
Country	:	US
Telephone Number	:	513-774-8512
Fax Number	:	513-645-9750

Provider Business Practice Location Address
First Line	:	10675A LOVELAND-MADEIRA RD
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-8965
Country	:	US
Telephone Number	:	513-774-8512
Fax Number	:	513-645-9750

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	08/31/2021

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