| |
151 W Galbraith Rd Cincinnati OH 45216-1015 | |
(513) 418-2639 | |
(513) 418-2516 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 151 W Galbraith Rd, Cincinnati, Ohio |
Authorized Official Name and Position | James Larson (DIRECTOR OF PATIENT ACCOUNTING) |
Authorized Official Contact | 5135859336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3200 Burnet Ave 1 Ridgeway Cincinnati OH 45229-3019 Ph: (513) 585-9009 | 151 W Galbraith Rd Cincinnati OH 45216-1015 Ph: (513) 418-2639 |
NPI Number | 1417129107 |
---|---|
Provider Enumeration Date | 04/02/2008 |
Last Update Date | 04/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417129107 | NPI | - | NPPES |
2657978 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Secondary |
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 |