MEDICARE: REBECCA A ROEDERSHEIMER 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	208800000X	Urology Physician	57007949	OH

General Provider Information

NPI Number	:	1538388848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA A ROEDERSHEIMER MD

Provider Business Mailing Address
First Line	:	2000 JOSEPH E SANKER BLVD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1979
Country	:	US
Telephone Number	:	513-841-7400
Fax Number	:	513-841-7402

Provider Business Practice Location Address
First Line	:	3301 MERCY HEALTH BLVD
Second Line	:	SUITE 525
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1104
Country	:	US
Telephone Number	:	513-841-7700
Fax Number	:	513-841-7701

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	10/17/2013

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