MEDICARE: CYNTHIA OCHS DO

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	CO009299	MI

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811926744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA OCHS DO

Provider Business Mailing Address
First Line	:	PO BOX 1848
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49443-1848
Country	:	US
Telephone Number	:	231-727-4444
Fax Number	:	231-728-4789

Provider Business Practice Location Address
First Line	:	611 E MAIN ST
Second Line	:
City	:	HART
State	:	MI
Zip	:	49420-1190
Country	:	US
Telephone Number	:	231-873-5675
Fax Number	:	231-873-1825

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	04/20/2016

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1922030063 — RONALD E GRAESER DO
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Directions to “ CYNTHIA OCHS DO” Practice Location

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