MEDICARE: DR. MARY KATHRYN JABIN 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	207V00000X	Obstetrics & Gynecology Physician	35.064152	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
2	160046327	OTHER	OH	MEDCIARE RAILROAD
3	2135551	OTHER	OH	AETNA
4	000000038637	OTHER	OH	ANTHEM
5	311575051052	OTHER	OH	CARESOURCE
6	0701225	OTHER	OH	UNITED HEALTHCARE
7	288003	OTHER	OH	AMERIGROUP

General Provider Information

NPI Number	:	1548263866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY KATHRYN JABIN M.D.

Provider Business Mailing Address
First Line	:	1701 MERCY HEALTH PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-6147
Country	:	US
Telephone Number	:	513-639-0357
Fax Number	:	513-952-5428

Provider Business Practice Location Address
First Line	:	8000 5 MILE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2163
Country	:	US
Telephone Number	:	513-559-7175
Fax Number	:	513-559-7194

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/05/2025

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