MEDICARE: TRIHEALTH ONCOLOGY INSTITUTE

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1942568340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIHEALTH ONCOLOGY INSTITUTE

Provider Business Mailing Address
First Line	:	10494 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5214
Country	:	US
Telephone Number	:	513-891-1200
Fax Number	:	513-791-2066

Provider Business Practice Location Address
First Line	:	10494 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5214
Country	:	US
Telephone Number	:	513-891-1200
Fax Number	:	513-791-2066

Authorized Official
Title or Position	:	SENIOR VP CORP COUNSEL
Name	:	DONNA S NIENABER
Credential	:
Telephone Number	:	513-569-6062

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	04/24/2012

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