MEDICARE: DR. LAURA FOONER WEXLER 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	207R00000X	Internal Medicine Physician	35-056197	OH
2	207RC0000X	Cardiovascular Disease Physician	35-056197	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
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	:	1972551158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA FOONER WEXLER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:	CENTRAL CREDENTIALING
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-245-3104
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	3200 VINE ST
Second Line	:	CARDIOLOGY SECTION IIIC
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2213
Country	:	US
Telephone Number	:	513-475-6383
Fax Number	:	513-475-6389

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/07/2017

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Directions to “ DR. LAURA FOONER WEXLER M.D.” Practice Location

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