MEDICARE: DR. THOMAS R. KIEFHABER 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	207X00000X	Orthopaedic Surgery Physician	35.048223	OH
2	207XS0106X	Orthopaedic Hand Surgery Physician	35.048223	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

General Provider Information

NPI Number	:	1457347544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS R. KIEFHABER M.D.

Provider Business Mailing Address
First Line	:	6480 HARRISON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7961
Country	:	US
Telephone Number	:	513-354-3700
Fax Number	:	513-699-1435

Provider Business Practice Location Address
First Line	:	538 OAK ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2554
Country	:	US
Telephone Number	:	513-354-3700
Fax Number	:	513-699-1435

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	09/07/2021

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Directions to “ DR. THOMAS R. KIEFHABER M.D.” Practice Location

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