Individual
DR. TIMOTHY B MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8099 CORNELL RD, CINCINNATI, OH 45249-2231
(513) 357-3700
(513) 354-3705
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-3705
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35-080-0340M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2333068
—
OH
05
—
64-05308500
—
KY
01
—
P00068010
MEDICARE RAILROAD
OH
Enumeration date
07/29/2006
Last updated
07/13/2020
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