Healthcare Provider Details

I. General information

NPI: 1376986778
Provider Name (Legal Business Name): CHRISTINE N FURGASON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 AUBURN AVE
CINCINNATI OH
45219-2701
US

IV. Provider business mailing address

1712 RACE ST
CINCINNATI OH
45202-3906
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-7777
  • Fax:
Mailing address:
  • Phone: 513-381-2247
  • Fax: 513-381-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number127038
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: