Healthcare Provider Details

I. General information

NPI: 1023237344
Provider Name (Legal Business Name): SARAH E BARTLETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 E KEMPER RD STE A
CINCINNATI OH
45249-1683
US

IV. Provider business mailing address

7335 YANKEE RD STE 203
LIBERTY TOWNSHIP OH
45044-0006
US

V. Phone/Fax

Practice location:
  • Phone: 513-404-4166
  • Fax:
Mailing address:
  • Phone: 513-585-4348
  • Fax: 513-585-4890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35093471
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: