Unknown Individual – Surgery Physician, NPI 1649269325
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452636961
Phone: (513) 981-5130
Fax: (513) 981-5015
Type: Mailing
225, Medical Center Drive, Forest Hill, Paducah, McCracken County, Kentucky, 42003, United States
SUITE NUMBER 205
PADUCAH, KY 420037914
Phone: (270) 441-4462
Fax: (270) 554-9290
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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