Healthcare Provider Details

I. General information

NPI: 1174052526
Provider Name (Legal Business Name): ROBERT LAWRENCE ZACHARY REED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 5 MILE RD STE 100
CINCINNATI OH
45230-2187
US

IV. Provider business mailing address

8000 5 MILE RD STE 100
CINCINNATI OH
45230-2187
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-6983
  • Fax: 513-233-6970
Mailing address:
  • Phone: 513-233-6983
  • Fax: 513-233-6980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125076108
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57.255531
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: