Dr Kevin Grannan, | |
379 Dixmyth Ave, Cincinnati, OH 45220-2475 | |
(513) 246-7000 | |
(513) 246-7590 |
Full Name | Dr Kevin Grannan |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 379 Dixmyth 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 |
---|---|---|---|
1871532986 | NPI | - | NPPES |
O611985 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35052386 (Ohio) | Primary |
Entity Name | Trihealth G Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Grannan, 4600 Wesley Ave, Ste N, Cincinnati, OH 45212-2298 Ph: (513) 246-7896 | Dr Kevin Grannan, 379 Dixmyth Ave, Cincinnati, OH 45220-2475 Ph: (513) 246-7000 |
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 |