Healthcare Provider Details

I. General information

NPI: 1245285642
Provider Name (Legal Business Name): HOSPITALISTS OF MT AUBURN INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE STE 6162
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

PO BOX 632832
CINCINNATI OH
45263-2832
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2568
  • Fax: 513-585-1057
Mailing address:
  • Phone: 513-891-7574
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP WEISFELDER
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 513-585-2410