MEDICARE: DR. CURTIS B EVERSON 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	208000000X	Pediatrics Physician	35-063130	OH
2	208D00000X	General Practice Physician	35.063130	OH
3	207RA0401X	Addiction Medicine (Internal Medicine) Physician	35.063130	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110247626	OTHER		RR MEDICARE
3	P00789615	OTHER	OH	RR MEDICARE

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	:	1942203377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS B EVERSON MD

Provider Business Mailing Address
First Line	:	4600 MONTGOMERY RD STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2600
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:	513-734-9300

Provider Business Practice Location Address
First Line	:	707 S EDWIN C MOSES BLVD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-3462
Country	:	US
Telephone Number	:	513-734-9200
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/29/2025

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Directions to “ DR. CURTIS B EVERSON MD” Practice Location

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