MEDICARE: SARAH HOSEUS

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	35.155306	OH

General Provider Information

NPI Number	:	1972206308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HOSEUS

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-584-4505
Fax Number	:	513-584-0468

Provider Business Practice Location Address
First Line	:	3130 HIGHLAND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2399
Country	:	US
Telephone Number	:	513-584-4505
Fax Number	:	513-584-0468

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

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	04/08/2026

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Directions to “ SARAH HOSEUS ” Practice Location

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