MEDICARE: CARDIOLOGY CENTER OF CINCINNATI, 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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1902877574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY CENTER OF CINCINNATI, INC

Provider Business Mailing Address
First Line	:	10525 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4401
Country	:	US
Telephone Number	:	513-745-9800
Fax Number	:	513-745-0772

Provider Business Practice Location Address
First Line	:	10525 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4401
Country	:	US
Telephone Number	:	513-745-9800
Fax Number	:	513-745-0772

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD J LOUGHERY
Credential	:	MD
Telephone Number	:	513-745-9800

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	08/22/2020

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