MEDICARE: DIANNE K LITWIN MD

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35.064219	OH
2	207RP1001X	Pulmonary Disease Physician	35.064219	OH
3	207RP1001X	Pulmonary Disease Physician	32227	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0651601	OTHER	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000044590	OTHER	ANTHEM
4	1098077	OTHER	PASSPORT
5	021036000	OTHER	FEDERAL BLACK LUNG
6	4800056	OTHER	UNITED HEALTHCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598757957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE K LITWIN MD

Provider Business Mailing Address
First Line	:	2300 CHAMBER CENTER DR
Second Line	:
City	:	FT. MITCHELL
State	:	KY
Zip	:	41017-1673
Country	:	US
Telephone Number	:	859-757-2927
Fax Number	:	859-341-0203

Provider Business Practice Location Address
First Line	:	651 CENTRE VIEW BLVD
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5423
Country	:	US
Telephone Number	:	859-757-2927
Fax Number	:	859-341-0203

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	04/24/2018

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Directions to “ DIANNE K LITWIN MD” Practice Location

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