Healthcare Provider Details

I. General information

NPI: 1518461235
Provider Name (Legal Business Name): VERONICA S POFFEL-MORTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA POFFEL MD

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 5 MILE RD STE 205
CINCINNATI OH
45230-2190
US

IV. Provider business mailing address

8000 5 MILE RD STE 205
CINCINNATI OH
45230-2190
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-1240
  • Fax: 513-624-1290
Mailing address:
  • Phone: 513-624-1240
  • Fax: 513-624-1290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.143064
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: