=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265490759
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RONALD ALAN SACHER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2006
-----------------------------------------------------
Last Update Date | 10/22/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 234 GOODMAN ST BARRETT CENTER
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45219-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-584-6928
-----------------------------------------------------
Fax | 513-584-4281
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2830 VICTORY PKWY STE 310
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45206-3700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-245-3431
-----------------------------------------------------
Fax | 513-245-7259
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0000X
-----------------------------------------------------
Taxonomy Name | Hematology (Internal Medicine) Physician
-----------------------------------------------------
License Number | 35-078992
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------