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1164497053

NPI Code Detail

MEDICARE: DR. GREGORY SCOTT NIX MD

MEDICARE: DR. GREGORY SCOTT NIX 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	207R00000X	Internal Medicine Physician	820583807	OH
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	35.080110	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164497053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY SCOTT NIX MD

Provider Business Mailing Address
First Line	:	446 MORGAN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2348
Country	:	US
Telephone Number	:	513-834-7063
Fax Number	:	513-873-1567

Provider Business Practice Location Address
First Line	:	446 MORGAN ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2348
Country	:	US
Telephone Number	:	513-834-7063
Fax Number	:	513-873-1567

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/03/2019

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Directions to “ DR. GREGORY SCOTT NIX MD” Practice Location

Language	Start Address	Practice Location

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