MEDICARE: DR. MATTHEW H RECHT MD

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	208600000X	Surgery Physician	35083944	OH
2	2086S0129X	Vascular Surgery Physician	35083944	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000514568	OTHER	OH	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7984643	OTHER	OH	AETNA
6	11716293	OTHER		CAQH

General Provider Information

NPI Number	:	1033114616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW H RECHT MD

Provider Business Mailing Address
First Line	:	10506 MONTGOMERY RD STE 302
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10506 MONTGOMERY RD STE 302
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4400
Country	:	US
Telephone Number	:	513-865-9898
Fax Number	:

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	03/25/2014

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