MEDICARE: KRISTEN M DEMARCO 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	207P00000X	Emergency Medicine Physician	35.086815	OH
2	208000000X	Pediatrics Physician	35.086815	OH

General Provider Information

NPI Number	:	1396787487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN M DEMARCO M.D.

Provider Business Mailing Address
First Line	:	7829 LAUREL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-2608
Country	:	US
Telephone Number	:	513-936-2150
Fax Number	:	513-936-2199

Provider Business Practice Location Address
First Line	:	7829 LAUREL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-2608
Country	:	US
Telephone Number	:	513-936-2150
Fax Number	:	513-936-2199

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	03/13/2025

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Directions to “ KRISTEN M DEMARCO M.D.” Practice Location

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