Healthcare Provider Details

I. General information

NPI: 1194724369
Provider Name (Legal Business Name): EDWARD A MARCHESCHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 RED BANK RD SUITE 100
CINCINNATI OH
45227-3429
US

IV. Provider business mailing address

8737 UNION CENTRE BLVD MERCY HEALTH WELLINGTON ORTHOPAEDICS WEST CHESTER
WEST CHESTER OH
45069-4878
US

V. Phone/Fax

Practice location:
  • Phone: 513-333-2580
  • Fax: 513-333-2584
Mailing address:
  • Phone: 513-645-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-080595
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number35-080595
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35-080595
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: