Healthcare Provider Details

I. General information

NPI: 1710220512
Provider Name (Legal Business Name): VINITA MARIE ALEXANDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 EDWARDS RD STE 450
CINCINNATI OH
45209-1948
US

IV. Provider business mailing address

3805 EDWARDS RD STE 450
CINCINNATI OH
45209-1948
US

V. Phone/Fax

Practice location:
  • Phone: 513-924-5550
  • Fax:
Mailing address:
  • Phone: 513-924-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2018004983
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number60517
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number60517
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number35.154284
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: