Healthcare Provider Details

I. General information

NPI: 1861450017
Provider Name (Legal Business Name): FREIBERG ORTHOPAEDICS & SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 KENWOOD CROSSING WAY SUITE 100
CINCINNATI OH
45236-3668
US

IV. Provider business mailing address

8250 KENWOOD CROSSING WAY SUITE 100
CINCINNATI OH
45236-3668
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-5500
  • Fax: 513-221-1962
Mailing address:
  • Phone: 513-221-5500
  • Fax: 513-221-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number35-065879
License Number StateOH

VIII. Authorized Official

Name: DR. MICHAEL LAWSON SWANK
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 513-221-5500