MEDICARE: UNIVERSITY FAMILY PHYSICIANS, INC.

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	207Q00000X	Family Medicine Physician

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	:	1740256114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY FAMILY PHYSICIANS, INC.

Provider Business Mailing Address
First Line	:	141 HEALTH PROFESSIONS BUILDING
Second Line	:	PO BOX 670582
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0582
Country	:	US
Telephone Number	:	513-558-4021
Fax Number	:	513-558-3030

Provider Business Practice Location Address
First Line	:	7700 UNIVERSITY CT
Second Line	:	SUITE 3100
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6542
Country	:	US
Telephone Number	:	513-475-8264
Fax Number	:	513-475-8265

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFREY LOUIS SUSMAN
Credential	:	M.D.
Telephone Number	:	513-558-4021

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/22/2020

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Directions to “UNIVERSITY FAMILY PHYSICIANS, INC. ” Practice Location

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