| Rodney E. Vivian Md Inc | |
|
8000 5 Mile Rd 240 Cincinnati OH 45230-2163 | |
| (513) 232-3070 | |
| (513) 232-5794 |
| Full Name | Rodney E. Vivian Md Inc |
|---|---|
| Speciality | Counselor |
| Location | 8000 5 Mile Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Christy S. Driggett (OFFICE MANAGER) |
| Authorized Official Contact | 5132323070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney E. Vivian Md Inc 8000 5 Mile Rd 240 Cincinnati OH 45230-2163 Ph: (513) 232-3070 | Rodney E. Vivian Md Inc 8000 5 Mile Rd 240 Cincinnati OH 45230-2163 Ph: (513) 232-3070 |
| NPI Number | 1003993346 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 5294768768 |
|---|---|
| Medicare Enrollment ID | O20050914001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003993346 | NPI | - | NPPES |
| 196047000 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Roxanne Huston |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033199823 PECOS PAC ID: 1456250836 Enrollment ID: I20040105000662 |
| Provider Name | Rodney E Vivian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295763845 PECOS PAC ID: 8022919422 Enrollment ID: I20040119000314 |
| Provider Name | Linda A Pettit |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063593523 PECOS PAC ID: 0547269292 Enrollment ID: I20061207000280 |
| Provider Name | Michael J Madigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780728931 PECOS PAC ID: 2860590205 Enrollment ID: I20070607000457 |
| Provider Name | Daniel D Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497721922 PECOS PAC ID: 0345349932 Enrollment ID: I20070622000098 |
| Provider Name | Carol Dewald |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891793220 PECOS PAC ID: 8820164866 Enrollment ID: I20080827000610 |
| Provider Name | Lee Ann K Eakins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821281981 PECOS PAC ID: 4688855513 Enrollment ID: I20110224000465 |
| Provider Name | William M Wing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982636692 PECOS PAC ID: 4183898224 Enrollment ID: I20111129000515 |
| Provider Name | Philip H Berne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285664896 PECOS PAC ID: 7214101369 Enrollment ID: I20111129000697 |
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