MEDICARE: CINCINNATI FOOT CLINIC INC.

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	213E00000X	Podiatrist	36001907	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CM5979	OTHER	OH	RAILROAD MEDICARE

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	:	1437105491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATI FOOT CLINIC INC.

Provider Business Mailing Address
First Line	:	8111 CHEVIOT ROAD
Second Line	:	SUITE 100
City	:	CINCINNATI
State	:	OH
Zip	:	45247-4013
Country	:	US
Telephone Number	:	513-385-6946
Fax Number	:	513-385-0363

Provider Business Practice Location Address
First Line	:	8111 CHEVIOT ROAD
Second Line	:	SUITE 100
City	:	CINCINNATI
State	:	OH
Zip	:	45247-4013
Country	:	US
Telephone Number	:	513-385-6946
Fax Number	:	513-385-0363

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT F HAYMAN
Credential	:	DPM
Telephone Number	:	513-385-6946

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	03/21/2016

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Directions to “CINCINNATI FOOT CLINIC INC. ” Practice Location

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