MEDICARE: NICOLE C STARR MD, MPH

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	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	56959	KY
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	35.144378	OH
3	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	56959	KY
4	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	35.144378	OH

General Provider Information

NPI Number	:	1598127094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE C STARR MD, MPH

Provider Business Mailing Address
First Line	:	8044 MONTGOMERY RD STE 230
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2921
Country	:	US
Telephone Number	:	513-984-3223
Fax Number	:

Provider Business Practice Location Address
First Line	:	8044 MONTGOMERY RD STE 230
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2921
Country	:	US
Telephone Number	:	832-353-2880
Fax Number	:

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

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	05/09/2025

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