Healthcare Provider Details

I. General information

NPI: 1760640692
Provider Name (Legal Business Name): JASON SETH FRISCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 2023
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE ML 2023
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4371
  • Fax: 513-636-7657
Mailing address:
  • Phone: 513-636-4371
  • Fax: 513-636-7657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number52205
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number35.092167
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number47884
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: