MEDICARE: PAUL CROSBY 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	2084P0804X	Child & Adolescent Psychiatry Physician	35082868	OH
2	2084P0800X	Psychiatry Physician	35082868	OH

General Provider Information

NPI Number	:	1447262381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CROSBY M.D.

Provider Business Mailing Address
First Line	:	3001 HIGHLAND AVE STE D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2315
Country	:	US
Telephone Number	:	513-873-1100
Fax Number	:	513-657-0711

Provider Business Practice Location Address
First Line	:	3001 HIGHLAND AVE STE D
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2315
Country	:	US
Telephone Number	:	513-961-8830
Fax Number	:	513-487-3760

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	01/11/2026

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