Healthcare Provider Details

I. General information

NPI: 1558316513
Provider Name (Legal Business Name): JAMES JOSEPH SANITATO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 03/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7730 MONTGOMERY RD SUITE 120
CINCINNATI OH
45236-4283
US

IV. Provider business mailing address

2865 CHANCELLOR DR SUITE 215
CRESTVIEW HILLS KY
41017-3912
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-5999
  • Fax: 513-791-1473
Mailing address:
  • Phone: 859-581-7120
  • Fax: 859-581-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35-043741
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number28767
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: