MEDICARE: JOYCE M PHILIP 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
1	207R00000X	Internal Medicine Physician	35059542P	OH
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	35.059542	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1033111463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE M PHILIP M.D.

Provider Business Mailing Address
First Line	:	PO BOX 637676
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7676
Country	:	US
Telephone Number	:	513-741-7200
Fax Number	:	513-741-1977

Provider Business Practice Location Address
First Line	:	3035 HAMILTON MASON RD
Second Line	:	SUITE 203
City	:	HAMILTON
State	:	OH
Zip	:	45011-5544
Country	:	US
Telephone Number	:	513-741-7200
Fax Number	:	513-741-1977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/01/2015

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Directions to “ JOYCE M PHILIP M.D.” Practice Location

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