MEDICARE: MICHELLE LEE FEDERER DO

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	207V00000X	Obstetrics & Gynecology Physician	34007416	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	:	1518992395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LEE FEDERER DO

Provider Business Mailing Address
First Line	:	796 OLD STATE ROUTE 74 STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1262
Country	:	US
Telephone Number	:	513-564-2700
Fax Number	:	513-297-4469

Provider Business Practice Location Address
First Line	:	796 OLD STATE ROUTE 74 STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1262
Country	:	US
Telephone Number	:	513-564-2700
Fax Number	:	513-297-4469

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/08/2026

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Directions to “ MICHELLE LEE FEDERER DO” Practice Location

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