MEDICARE: DR. ANDREW RICHARD KOLODZIEJ 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	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	46098	KY
2	207RC0000X	Cardiovascular Disease Physician	46098	KY
3	207R00000X	Internal Medicine Physician	46098	KY
4	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	35.155895	OH

General Provider Information

NPI Number	:	1750519369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW RICHARD KOLODZIEJ M.D.

Provider Business Mailing Address
First Line	:	3219 CLIFTON AVE STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-3049
Country	:	US
Telephone Number	:	513-246-2343
Fax Number	:	513-865-9916

Provider Business Practice Location Address
First Line	:	3219 CLIFTON AVE STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-3049
Country	:	US
Telephone Number	:	513-246-2343
Fax Number	:	513-865-9916

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

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	04/28/2026

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Directions to “ DR. ANDREW RICHARD KOLODZIEJ M.D.” Practice Location

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