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NPI Code Detail

MEDICARE: DR. BRIAN T. SKALE M.D.

MEDICARE: DR. BRIAN T. SKALE 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
1174400000XSpecialist35-050282OH
2207RC0000XCardiovascular Disease Physician35-050282OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00367109OTHEROHRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1396735650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN T. SKALE M.D.
Provider Business Mailing Address
First Line : 237 WILLIAM HOWARD TAFT RD
Second Line : 2ND FLOOR, CBO2-3
City : CINCINNATI
State : OH
Zip : 45219-2610
Country : US
Telephone Number : 513-206-1320
Fax Number : 513-232-8483
Provider Business Practice Location Address
First Line : 7545 BEECHMONT AVE
Second Line : SUITE D
City : CINCINNATI
State : OH
Zip : 45255-4222
Country : US
Telephone Number : 513-206-1320
Fax Number : 513-232-8483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 10/23/2020

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