Healthcare Provider Details

I. General information

NPI: 1699033035
Provider Name (Legal Business Name): KLINTON PITTS MCGHEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 WILLIAM HOWARD TAFT RD
CINCINNATI OH
45219-2103
US

IV. Provider business mailing address

199 WILLIAM HOWARD TAFT RD
CINCINNATI OH
45219-2103
US

V. Phone/Fax

Practice location:
  • Phone: 513-783-1200
  • Fax: 513-861-0105
Mailing address:
  • Phone: 513-783-1200
  • Fax: 513-861-0105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.122617
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number35.122617
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: