MEDICARE: DR. ABIGAIL MOWRY TREMELLING 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	2086X0206X	Surgical Oncology Physician	2018018432	MO
2	208600000X	Surgery Physician	35.137112	OH

General Provider Information

NPI Number	:	1740624857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL MOWRY TREMELLING MD

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 IVY GTWY STE 1100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1995
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:

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

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	12/17/2021

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