MEDICARE: MR. DON S FIXLER 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	207Q00000X	Family Medicine Physician	35060869	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

General Provider Information

NPI Number	:	1831125079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DON S FIXLER MD

Provider Business Mailing Address
First Line	:	4803 MONTGOMERY RD STE 114
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1153
Country	:	US
Telephone Number	:	513-631-3300
Fax Number	:	513-631-9852

Provider Business Practice Location Address
First Line	:	4803 MONTGOMERY RD STE 114
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1153
Country	:	US
Telephone Number	:	513-631-3300
Fax Number	:	513-631-9852

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	10/21/2020

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