Healthcare Provider Details
I. General information
NPI: 1558329417
Provider Name (Legal Business Name): BARBARA ANN RAMLO HALSTED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4440 RED BANK RD SUITE 210
CINCINNATI OH
45227-2176
US
IV. Provider business mailing address
4440 RED BANK RD SUITE 210
CINCINNATI OH
45227-2176
US
V. Phone/Fax
- Phone: 513-272-0313
- Fax: 513-272-0316
- Phone: 513-272-0313
- Fax: 513-272-0316
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35-078067 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 35-078067 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: