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NPI Code Detail

MEDICARE: GERALD T POWERS MD

MEDICARE: GERALD T POWERS 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
1174400000XSpecialist35047207OH
22085R0202XDiagnostic Radiology Physician35-047207OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740285162
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD T POWERS MD
Provider Business Mailing Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-281-3400
Fax Number : 513-527-2275
Provider Business Practice Location Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-281-3400
Fax Number : 513-527-2275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 05/20/2013

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Directions to “ GERALD T POWERS MD” Practice Location

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