Healthcare Provider Details
I. General information
NPI: 1821039306
Provider Name (Legal Business Name): JOSEPH RICHARD HELLMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/08/2006
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7691 5 MILE RD SUITE 214
CINCINNATI OH
45230-4348
US
IV. Provider business mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV 2ND FL, CBO2-3, ATTN: CREDENTIALING
CINCINNATI OH
45219-2906
US
V. Phone/Fax
- Phone: 513-232-3277
- Fax: 513-232-3444
- Phone: 513-263-8571
- Fax: 513-366-4480
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 055687 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: