MEDICARE: DR. JOSEPH T CALIGARIS 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	207V00000X	Obstetrics & Gynecology Physician	35050658	OH

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	9277161	OTHER	OH	GROUP MCR

General Provider Information

NPI Number	:	1588635122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH T CALIGARIS MD

Provider Business Mailing Address
First Line	:	11140 MONTGOMERY RD STE 2400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-2309
Country	:	US
Telephone Number	:	513-985-9966
Fax Number	:	513-985-9969

Provider Business Practice Location Address
First Line	:	11140 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-2309
Country	:	US
Telephone Number	:	513-985-9966
Fax Number	:	513-985-9969

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	11/18/2020

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