Healthcare Provider Details

I. General information

NPI: 1598845323
Provider Name (Legal Business Name): DAVID A BILLMIRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 2020
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE ML 2020
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-7181
  • Fax: 513-636-7182
Mailing address:
  • Phone: 513-636-7181
  • Fax: 513-636-7182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number35.038412
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: