MEDICARE: SUSAN MCELROY-MARCUS MD LLC

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		OH

General Provider Information

NPI Number	:	1487833497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN MCELROY-MARCUS MD LLC

Provider Business Mailing Address
First Line	:	4753 CORNELL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2457
Country	:	US
Telephone Number	:	513-489-4145
Fax Number	:	513-489-4143

Provider Business Practice Location Address
First Line	:	4753 CORNELL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2457
Country	:	US
Telephone Number	:	513-489-4145
Fax Number	:	513-489-4143

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUSAN PARR MCELROY-MARCUS
Credential	:	MD
Telephone Number	:	513-489-4145

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	07/21/2022

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