Healthcare Provider Details

I. General information

NPI: 1366360919
Provider Name (Legal Business Name): ARTHRITIS AND RHEUMATOLOGY OF SOUTHWEST OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7116 SENNET PL
LIBERTY TOWNSHIP OH
45069-1791
US

IV. Provider business mailing address

7116 SENNET PL
LIBERTY TOWNSHIP OH
45069-1791
US

V. Phone/Fax

Practice location:
  • Phone: 513-779-0777
  • Fax: 513-779-5612
Mailing address:
  • Phone: 513-779-0777
  • Fax: 513-779-5612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA WHITE
Title or Position: BILLER/CREDENTIALING
Credential:
Phone: 740-574-9957