Healthcare Provider Details

I. General information

NPI: 1528645447
Provider Name (Legal Business Name): SCOTT JAMES PFIRRMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE MLC 7028
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE # MLC7028
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-803-2815
  • Fax: 513-803-2735
Mailing address:
  • Phone: 513-803-2815
  • Fax: 513-803-2735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number35.151179
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.151179
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: