Healthcare Provider Details

I. General information

NPI: 1043500135
Provider Name (Legal Business Name): COURTNEY LAUREN OHLINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 02/24/2021
Certification Date: 02/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

5716 FAYETTEVILLE RD
DURHAM NC
27713-9661
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-4503
  • Fax: 513-584-0462
Mailing address:
  • Phone: 919-620-4855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2019-02162
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35125459
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35 125459
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: