Healthcare Provider Details

I. General information

NPI: 1376570556
Provider Name (Legal Business Name): RODERICK MATTHEW HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8833 CHAPELSQUARE DR STE C
CINCINNATI OH
45249-4706
US

IV. Provider business mailing address

8833 CHAPELSQUARE DR STE C
CINCINNATI OH
45249-4706
US

V. Phone/Fax

Practice location:
  • Phone: 513-826-6142
  • Fax: 346-636-5775
Mailing address:
  • Phone: 513-826-6142
  • Fax: 346-636-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35087768
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: