MEDICARE: DR. JOHN A BISMAYER 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	207RH0003X	Hematology & Oncology Physician	35036544	OH
2	207RH0003X	Hematology & Oncology Physician	19916	KY
3	207RH0003X	Hematology & Oncology Physician	01026470A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	900003552	OTHER	IN	MEDICARE RAILROAD
5	900003561	OTHER	KY	MEDICARE RAILROAD
6	900003531	OTHER	OH	MEDICARE RAILROAD

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

General Provider Information

NPI Number	:	1902899214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A BISMAYER MD

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:	513-751-2138

Provider Business Practice Location Address
First Line	:	8000 5 MILE RD
Second Line	:	#100
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2163
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:	513-751-1840

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	11/02/2015

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Directions to “ DR. JOHN A BISMAYER MD” Practice Location

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