Healthcare Provider Details

I. General information

NPI: 1437190881
Provider Name (Legal Business Name): DANNY B FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10496 MONTGOMERY RD #110
CINCINNATI OH
45242-5223
US

IV. Provider business mailing address

10496 MONTGOMERY RD #110
CINCINNATI OH
45242-5223
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-7572
  • Fax: 513-791-8240
Mailing address:
  • Phone: 513-791-7572
  • Fax: 513-791-2472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35-062461
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number28555
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: