Individual
DR. GEORGE THEODORE SHYBUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 753-7488
(513) 753-7879
Mailing address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 753-7488
(513) 753-7879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01041143A
IN
207X00000X
Orthopaedic Surgery Physician
036054951
IL
207X00000X
Orthopaedic Surgery Physician
31910
KY
207X00000X
Orthopaedic Surgery Physician
Primary
350559319S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000382638
ANTHEM
OH
05
—
0785011
—
OH
01
—
0903535
UNITED HEALTHCARE
OH
01
—
3284491
CIGNA
OH
01
—
P00321556
MEDICARE RAILROAD
OH
Enumeration date
06/14/2005
Last updated
09/23/2013
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