MEDICARE: RICHARD LOUIS MCMASTERS 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	207ZH0000X	Hematology (Pathology) Physician	35.090909	OH
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35.090909	OH
3	207ZP0213X	Pediatric Pathology Physician	35.090909	OH

General Provider Information

NPI Number	:	1528289915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LOUIS MCMASTERS M.D.

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	MLC 1010
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-803-0494
Fax Number	:	513-636-3924

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	MLC 1010
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-803-0494
Fax Number	:	513-636-3924

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	12/14/2007

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