MEDICARE: DR. MARVIN D ALMQUIST 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	207V00000X	Obstetrics & Gynecology Physician	35.068719	OH
2	207V00000X	Obstetrics & Gynecology Physician	35068719A	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00280674	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07-04050	OTHER	OH	UNITED HEALTHCARE
2	311575051043	OTHER	OH	CARESOURCE
3	311575051020	OTHER	OH	TRICARE
4	50162967014	OTHER	OH	MEDICAL MUTUAL
5	5436630	OTHER	OH	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	000000332661	OTHER	OH	ANTHEM
9	311575051021	OTHER	OH	TRICARE
10	287918	OTHER	OH	AMERIGROUP

General Provider Information

NPI Number	:	1750384871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARVIN D ALMQUIST M.D.

Provider Business Mailing Address
First Line	:	3145 HAMILTON MASON RD STE 202B
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-8556
Country	:	US
Telephone Number	:	513-894-4121
Fax Number	:

Provider Business Practice Location Address
First Line	:	3145 HAMILTON MASON RD STE 202B
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-8556
Country	:	US
Telephone Number	:	513-894-4121
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/23/2024

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