Healthcare Provider Details

I. General information

NPI: 1912047994
Provider Name (Legal Business Name): WILLIAM P. SAWYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11714 U.S. ROUTE 42
CINCINNATI OH
45241
US

IV. Provider business mailing address

11714 U.S. ROUTE 42
CINCINNATI OH
45241
US

V. Phone/Fax

Practice location:
  • Phone: 513-769-4951
  • Fax: 513-769-4964
Mailing address:
  • Phone: 513-769-4951
  • Fax: 513-769-4964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number35.048348
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number35.048348
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: