Dr George Steven Broderick, DO | |
5500 Verulam Ave, Cincinnati, OH 45213-2418 | |
(440) 523-9966 | |
(216) 584-2895 |
Full Name | Dr George Steven Broderick |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5500 Verulam Ave, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578625208 | NPI | - | NPPES |
1578625208 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 34007182 (Ohio) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 34007182 (Ohio) | Primary |
Entity Name | Oglethorpe Of Georgetown Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093379992 PECOS PAC ID: 5890038954 Enrollment ID: O20191030003355 |
Mailing Address | Practice Location Address |
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Dr George Steven Broderick, DO 3024 Parker Run Rd, New Richmond, OH 45157-8101 Ph: (513) 553-0414 | Dr George Steven Broderick, DO 5500 Verulam Ave, Cincinnati, OH 45213-2418 Ph: (440) 523-9966 |
Ethan J Musgrave, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229 Phone: 513-636-4788 Fax: 513-636-4283 | |
Dr. Tracey Goodman Skale, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2621 Victory Pkwy, Cincinnati, OH 45206 Phone: 513-861-6688 Fax: 513-559-3848 | |
Dr. Walter G Broadnax, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5505 Fair Ln, Cincinnati, OH 45227 Phone: 513-421-7246 Fax: 513-421-7796 | |
Aurora J Bennett, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 260 Stetson St, Cincinnati, OH 45219 Phone: 513-558-7700 Fax: 513-558-0877 | |
Hilja Rebecca Ruegg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Psychiatry, Cincinnati, OH 45219 Phone: 513-558-7700 | |
Dr. Shanna Duffy Stryker, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2805 Gilbert Ave, Cincinnati, OH 45206 Phone: 513-815-4475 | |
Dr. Robert William Schulman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2621 Victory Pkwy, Cincinnati, OH 45206 Phone: 513-861-6688 Fax: 513-559-3848 |