| Dr Kenneth Davis Jr, MD | |
|
234 Goodman Street, Cincinnati, OH 45219-2364 | |
| (513) 475-8787 | |
| (513) 558-3136 |
| Full Name | Dr Kenneth Davis Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgical Critical Care |
| Location | 234 Goodman Street, Cincinnati, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295703122 | NPI | - | NPPES |
| 64786429 | Medicaid | KY | |
| P00442454 | Other | RAILROAD MEDICARE | |
| 0571804 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35 051087 (Ohio) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 35-051087 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Davis Jr, MD Po Box 636256 Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 585-5506 | Dr Kenneth Davis Jr, MD 234 Goodman Street, Cincinnati, OH 45219-2364 Ph: (513) 475-8787 |
Stacy A Homan, CSFA/CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Cincinnati, OH 45229 Phone: 513-636-4200 | |
Dr. Jeffrey Michael Griffin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2123 Auburn Ave Ste 201, Cincinnati, OH 45219 Phone: 513-206-1170 Fax: 513-206-1172 | |
Dr. Matthew H Recht, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 302, Cincinnati, OH 45242 Phone: 513-865-9898 | |
Travis Wade Gerlach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-4318 Fax: 513-584-3020 | |
Dr. Binh Thai Nguyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Albert Sabin Way, Cincinnati, OH 45267 Phone: 513-558-4363 | |
Richard Bruce Fries Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4030 Smith Rd, Suite 300, Cincinnati, OH 45209 Phone: 513-421-3494 Fax: 513-345-2606 | |
Juan Pablo Gurria Juarez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3333 Burnet Ave. Mlc 2023, Cincinnati, OH 45229 Phone: 513-517-7170 |