Unknown Individual – Anesthesiology Physician, NPI 1104839463
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 632621
CINCINNATI, OH 452632621
Phone: (908) 653-9399
Fax: (908) 653-9305
Type: Mailing
1343, North Fountain Boulevard, Ridgewood, Springfield, Clark County, Ohio, 45504, United States
SPRINGFIELD, OH 45501
Phone: (937) 390-5029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45263)
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