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General NPI Number Information
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NPI Number | 1427040831
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Entity Type | Individual
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Provider Name | ROBERT A RAINES JR. M.M.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3219 CLIFTON AVE SUITE 300
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City | CINCINNATI
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State | OH
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Zip | 45220-3045
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Country | US
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Telephone | 513-354-3700
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Fax | 513-751-0023
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Provider Business Mailing Address
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Address Line | 6480 HARRISON AVE STE 201
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City | CINCINNATI
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State | OH
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Zip | 45247-7961
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Country | US
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Telephone | 513-354-7650
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Fax | 513-751-0023
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 35075936R
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35075936R
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License Number State | OH
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