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NPI Code Detail

MEDICARE: CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER, INC.

MEDICARE: CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER, INC.
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
1225100000XPhysical Therapist999999OH
2207X00000XOrthopaedic Surgery Physician999999OH

General Provider Information

NPI Number : 1700810819
Entity Type Code : Organization
Provider Name (Legal Business Name) : CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER, INC.
Provider Business Mailing Address
First Line : 10663 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-4403
Country : US
Telephone Number : 513-347-9999
Fax Number : 513-792-3239
Provider Business Practice Location Address
First Line : 12115 SHERATON LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1613
Country : US
Telephone Number : 513-671-0311
Fax Number : 513-346-7299
Authorized Official
Title or Position : DIRECTOR
Name : FRANK R NOYES
Credential : M.D.
Telephone Number : 513-347-9999
Provider Enumeration Date : 07/11/2006
Last Update Date : 09/19/2011

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Directions to “CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER, INC. ” Practice Location

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