Theodore S Marty Md Inc | |
1507 Springfield Pike Cincinnati OH 45215-1437 | |
(513) 821-6500 | |
(513) 821-4333 |
Full Name | Theodore S Marty Md Inc |
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Speciality | Internal Medicine |
Location | 1507 Springfield Pike, Cincinnati, Ohio |
Authorized Official Name and Position | Theodore S Marty (PHYSICIAN) |
Authorized Official Contact | 5138216500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Theodore S Marty Md Inc Po Box 636995 Cincinnati OH 45263-0001 Ph: (513) 821-6500 | Theodore S Marty Md Inc 1507 Springfield Pike Cincinnati OH 45215-1437 Ph: (513) 821-6500 |
NPI Number | 1124328182 |
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Provider Enumeration Date | 10/25/2010 |
Last Update Date | 02/24/2011 |
Medicare PECOS PAC ID | 4082802384 |
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Medicare Enrollment ID | O20110103000178 |
Identifier | Type | State | Issuer |
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1124328182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 35057786M (Ohio) | Primary |
Provider Name | Theodore S Marty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477517118 PECOS PAC ID: 3678649993 Enrollment ID: I20080910000042 |
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 |