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11465 Springfield Pike Cincinnati OH 45246-3525 | |
(513) 671-2555 | |
(513) 671-0135 |
Full Name | |
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Speciality | Family Medicine |
Location | 11465 Springfield Pike, Cincinnati, Ohio |
Authorized Official Name and Position | Elizabeth Anne Doriott (OWNER) |
Authorized Official Contact | 5136712555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11465 Springfield Pike Cincinnati OH 45246-3525 Ph: (513) 671-2555 | 11465 Springfield Pike Cincinnati OH 45246-3525 Ph: (513) 671-2555 |
NPI Number | 1447533807 |
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Provider Enumeration Date | 09/22/2011 |
Last Update Date | 08/30/2022 |
Medicare PECOS PAC ID | 1850566910 |
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Medicare Enrollment ID | O20111219000752 |
Identifier | Type | State | Issuer |
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1447533807 | NPI | - | NPPES |
0060054 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 34006593 (Ohio) | Primary |
Provider Name | Elizabeth Anne Doriott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538344072 PECOS PAC ID: 7810951100 Enrollment ID: I20041116001026 |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |