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NPI Code Detail

MEDICARE: DR. JASON L RICH M.D.

MEDICARE: DR. JASON L RICH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35081549OH
2207QA0401XAddiction Medicine (Family Medicine) Physician35.081549CTROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003815689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON L RICH M.D.
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 485 W MAIN ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2174
Country : US
Telephone Number : 866-934-7450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 05/10/2023

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Directions to “ DR. JASON L RICH M.D.” Practice Location

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