| Christ Hospital Orthopedic Associates Iii Llc | |
|
11140 Montgomery Rd Cincinnati OH 45249 | |
| (513) 791-5200 | |
| (513) 791-5229 |
| Full Name | Christ Hospital Orthopedic Associates Iii Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 11140 Montgomery Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Karen Fairbank (MANAGER OF REVENUE CYCLE) |
| Authorized Official Contact | 5132638535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Hospital Orthopedic Associates Iii Llc 237 William Howard Taft Phys. Div., 2nd Fl, Cbo2-3, Attn: Credentialing Cincinnati OH 45219-2906 Ph: (513) 263-9238 | Christ Hospital Orthopedic Associates Iii Llc 11140 Montgomery Rd Cincinnati OH 45249 Ph: (513) 791-5200 |
| NPI Number | 1467766204 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 07/20/2018 |
| Medicare PECOS PAC ID | 8820282924 |
|---|---|
| Medicare Enrollment ID | O20101103000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467766204 | NPI | - | NPPES |
| 3115713 | Medicaid | OH |
| Provider Name | Douglas C Schuckmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912095324 PECOS PAC ID: 1355234279 Enrollment ID: I20040205000001 |
| Provider Name | Patrick G Kirk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518960228 PECOS PAC ID: 1759365968 Enrollment ID: I20040621000630 |
| Provider Name | Gina Marie Hissong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548263239 PECOS PAC ID: 1658322375 Enrollment ID: I20050209000959 |
| Provider Name | Marc C Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174524326 PECOS PAC ID: 2769410240 Enrollment ID: I20050727000636 |
| Provider Name | Edward Va Lim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194797829 PECOS PAC ID: 8921065111 Enrollment ID: I20050929000041 |
| Provider Name | Jeffrey Kai Wu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679790190 PECOS PAC ID: 3476653338 Enrollment ID: I20070709000192 |
| Provider Name | Paul J Favorito |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306845151 PECOS PAC ID: 5092800581 Enrollment ID: I20100121000440 |
| Provider Name | Todd C Kelley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619188919 PECOS PAC ID: 0244383305 Enrollment ID: I20100901000981 |
| Provider Name | Noah Shaftel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932355955 PECOS PAC ID: 2466696331 Enrollment ID: I20130913000747 |
| Provider Name | Michael P Palmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144451394 PECOS PAC ID: 3072732064 Enrollment ID: I20160414002285 |
| Provider Name | Robert Winston Craig |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679816631 PECOS PAC ID: 6204126790 Enrollment ID: I20160613001738 |
| Provider Name | Jacob Maxwell Gunzenhaeuser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235457268 PECOS PAC ID: 1759522626 Enrollment ID: I20160801001418 |
| Provider Name | Samantha Ann Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326467762 PECOS PAC ID: 4688975733 Enrollment ID: I20170712004129 |
| Provider Name | Robert Kulwin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740692359 PECOS PAC ID: 9335364611 Enrollment ID: I20200528002021 |
| Provider Name | Stephanie Lynn Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235562364 PECOS PAC ID: 9537487434 Enrollment ID: I20210107000382 |
| Provider Name | Dinesh Thawrani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659506467 PECOS PAC ID: 5294983318 Enrollment ID: I20220615001983 |
| Provider Name | Patrick John Mullen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871150284 PECOS PAC ID: 7416339908 Enrollment ID: I20220730000299 |
| Provider Name | Namdar Kazemi Ashtiani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871819888 PECOS PAC ID: 1951528421 Enrollment ID: I20230310000586 |
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