|
| |
|
4260 Glendale Milford Rd, Suite 103a, Blue Ash, OH 45242 | |
| (513) 769-4408 | |
| (513) 474-1906 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4260 Glendale Milford Rd, Blue Ash, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003304049 | NPI | - | NPPES |
| 0331161 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Dominic Rizzo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043283047 PECOS PAC ID: 4587794250 Enrollment ID: I20100608000206 |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 353, Batavia, OH 45103-0353 Ph: (513) 474-1906 | 4260 Glendale Milford Rd, Suite 103a, Blue Ash, OH 45242 Ph: (513) 769-4408 |
Dr. Dominic Angelo Rizzo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd Ste 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Elizabeth Ann Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Dr. Renee L Ash, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Cary Lewis Copeland, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Mr. Todd C. Loftus, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 | |
Mark Petre, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4260 Glendale Milford Rd, Suite 103, Blue Ash, OH 45242 Phone: 513-769-4408 Fax: 513-769-4578 |