Healthcare Provider Details

I. General information

NPI: 1215025770
Provider Name (Legal Business Name): ANTHONY NEFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 03/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BEECHWOOD RD
CINCINNATI OH
45244-1809
US

IV. Provider business mailing address

4600 BEECHWOOD RD
CINCINNATI OH
45244-1809
US

V. Phone/Fax

Practice location:
  • Phone: 513-943-3680
  • Fax: 513-943-3699
Mailing address:
  • Phone: 513-943-3680
  • Fax: 513-943-3699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35080365
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35080365
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: