Katherine Livesay Broering, MD | |
6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | |
(513) 246-7000 | |
(513) 204-6355 |
Full Name | Katherine Livesay Broering |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6010 S Mason Montgomery Rd, Mason, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609142579 | NPI | - | NPPES |
35.125398 | Other | OH | OHIO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.125398 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 |
---|---|
Katherine Livesay Broering, MD 4685 Forest Ave Ste C, Cincinnati, OH 45212-3359 Ph: (513) 246-7000 | Katherine Livesay Broering, MD 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 Ph: (513) 246-7000 |
Dr. Amanda Sue Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9600 Children Dr, Mason, OH 45040 Phone: 513-336-6700 | |
Robert L. Evans, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8185 Corporate Way, Mason, OH 45040 Phone: 513-398-7171 Fax: 513-398-8683 | |
Balzer C. Sandrock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8185 Corporate Way, Mason, OH 45040 Phone: 513-398-7171 Fax: 513-398-8683 | |
Emily Kelleher, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8185 Corporate Way, Mason, OH 45040 Phone: 513-398-7171 Fax: 513-247-0850 | |
Thanh T Truong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5126 Butler Warren Rd, Mason, OH 45040 Phone: 513-459-2839 Fax: 513-459-0242 | |
Anita P Sheth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6010 S Mason Montgomery Rd, Mason, OH 45040 Phone: 513-246-7000 Fax: 513-204-6355 | |
Karen Agnew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9600 Children Dr, Bldg D, Suite 100, Mason, OH 45040 Phone: 513-336-6700 |