MEDICARE: DR. NANCY MARGARET HEINE-CAGGIANO 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	208000000X	Pediatrics Physician	68889	OH
2	208000000X	Pediatrics Physician	35394	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538329438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY MARGARET HEINE-CAGGIANO M.D.

Provider Business Mailing Address
First Line	:	7063 STONINGTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-3841
Country	:	US
Telephone Number	:	513-232-1685
Fax Number	:	513-232-1685

Provider Business Practice Location Address
First Line	:	2055 READING RD
Second Line	:	SUITE 420
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1461
Country	:	US
Telephone Number	:	513-861-5437
Fax Number	:

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

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	06/13/2008

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