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NPI Code Detail

MEDICARE: GREATER CINCINNATI DIGESTIVE HEALTH NETWORK

MEDICARE: GREATER CINCINNATI DIGESTIVE HEALTH NETWORK
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
1207RG0100XGastroenterology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CD8451OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720093586
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER CINCINNATI DIGESTIVE HEALTH NETWORK
Provider Business Mailing Address
First Line : PO BOX 632958
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-2958
Country : US
Telephone Number : 513-451-9698
Fax Number : 513-451-9699
Provider Business Practice Location Address
First Line : 4805 MONTGOMERY RD STE 160
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2280
Country : US
Telephone Number : 513-721-5300
Fax Number : 513-721-5166
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. GREG SCHOOLER
Credential :
Telephone Number : 513-233-4900
Provider Enumeration Date : 07/30/2006
Last Update Date : 03/29/2024

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Directions to “GREATER CINCINNATI DIGESTIVE HEALTH NETWORK ” Practice Location

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