Healthcare Provider Details

I. General information

NPI: 1609336908
Provider Name (Legal Business Name): ERIC XIAOCHEN JIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6939 COX RD STE 370
LIBERTY TOWNSHIP OH
45069-7595
US

IV. Provider business mailing address

6939 COX RD STE 370
LIBERTY TOWNSHIP OH
45069-7595
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-5500
  • Fax: 513-221-1962
Mailing address:
  • Phone: 513-221-5500
  • Fax: 513-221-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number35.153061
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number35.153061
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: