MEDICARE: DR. JOEL P REGINELLI M.D.

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	207RI0011X	Interventional Cardiology Physician	35082553R	OH
2	207RC0000X	Cardiovascular Disease Physician	35082553R	OH

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	:	1780687335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL P REGINELLI M.D.

Provider Business Mailing Address
First Line	:	237 WILLIAM HOWARD TAFT RD
Second Line	:	2ND FLOOR, CBO
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2610
Country	:	US
Telephone Number	:	513-792-7800
Fax Number	:	513-792-7807

Provider Business Practice Location Address
First Line	:	11140 MONTGOMERY RD STE 1300
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-2309
Country	:	US
Telephone Number	:	513-792-7800
Fax Number	:	513-792-7807

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	05/18/2023

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