Healthcare Provider Details

I. General information

NPI: 1992805055
Provider Name (Legal Business Name): ANDERSON RHEUMATOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7794 5 MILE RD STE. 280
CINCINNATI OH
45230-2368
US

IV. Provider business mailing address

PO BOX 711992
CINCINNATI OH
45271-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-4937
  • Fax: 513-624-0401
Mailing address:
  • Phone: 513-891-2813
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT E HILTZ
Title or Position: OWNER
Credential: MD
Phone: 513-624-4937