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Organization
FOOT SPECIALISTS OF GREATER CINCINNATI
Active
Organization
FOOT SPECIALISTS OF GREATER CINCINNATI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M TIRONE (PRESIDENT)
(859) 341-9900
Entity
Organization
Contact information
Practice address
2865 CHANCELLOR DR, SUITE 205, CRESTVIEW HILLS, KY 41017-3931
(859) 341-9900
(859) 341-1649
Mailing address
2865 CHANCELLOR DR, SUITE 205, CRESTVIEW HILLS, KY 41017-3931
(859) 341-9900
(859) 341-1649
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169438
PASSPORT HEALTH
—
01
—
18D2083494
CLIA
KY
01
—
2440449000
PASSPORT ADVANTAGE
—
01
—
411020001
DMEPOS
—
01
—
4111020001
PALMETTO
—
01
—
4111020003
PALMETTO
—
01
—
6113170095003
TRICARE
—
05
—
80900004
—
KY
Enumeration date
07/26/2006
Last updated
11/10/2014
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