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NPI Code Detail

MEDICARE: ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC

MEDICARE: ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
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
1207QS0010XSports Medicine (Family Medicine) Physician
2207R00000XInternal Medicine Physician
3207XS0106XOrthopaedic Hand Surgery Physician
4213E00000XPodiatrist
5225100000XPhysical Therapist
6332B00000XDurable Medical Equipment & Medical Supplies
7363AM0700XMedical Physician Assistant
8363L00000XNurse Practitioner
9363LF0000XFamily Nurse Practitioner
10207X00000XOrthopaedic Surgery Physician

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
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295353092
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Provider Business Mailing Address
First Line : 560 S LOOP RD
Second Line :
City : EDGEWOOD
State : KY
Zip : 41017-3405
Country : US
Telephone Number : 859-301-2663
Fax Number : 859-817-7848
Provider Business Practice Location Address
First Line : 8251 PINE RD STE 212
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2194
Country : US
Telephone Number : 859-301-2663
Fax Number : 859-817-7848
Authorized Official
Title or Position : EXECUTIVE OFFICER/MANAGER
Name : JOANN M REIS
Credential :
Telephone Number : 859-817-7070
Provider Enumeration Date : 07/08/2020
Last Update Date : 08/26/2022

Similar Medicare Providers

1639666159 — MR. BRANDIN A WILLIAMS AT, ATC
Practice Location Address:
8251 PINE RD STE 212
CINCINNATI, OH
45236-2194
Practice Phone: 513-232-2663
Practice Fax:
1194900670 — FARHAN AHMAD ARIF MD
Practice Location Address:
8251 PINE RD STE 212
CINCINNATI, OH
45236-2194
Practice Phone: 513-841-0222
Practice Fax: 513-841-0222
1679737076 — MUHAMMAD A ASHRAF MD
Practice Location Address:
8251 PINE RD STE 212 , ATTN CREDENTIALING
CINCINNATI, OH
45236-2194
Practice Phone: 513-841-0222
Practice Fax: 513-841-0638
1225393747 — DR. ROMAN TRIMBA M.D.
Practice Location Address:
8251 PINE RD STE 212
CINCINNATI, OH
45236-2194
Practice Phone: 859-301-2663
Practice Fax: 859-817-7848
1962758011 — JOANNA REIMANN OTR/L
Practice Location Address:
8251 PINE RD STE 212
CINCINNATI, OH
45236-2194
Practice Phone: 513-232-2663
Practice Fax:
1144749839 — RACHEL LYNN MCCRAVY NP
Practice Location Address:
8251 PINE RD STE 212
CINCINNATI, OH
45236-2194
Practice Phone: 513-841-0222
Practice Fax: 513-841-0638

Directions to “ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC ” Practice Location

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