Organization
MAYFIELD CLINIC INC
Active
Organization
MAYFIELD CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES RADOMSKI (VP/CFO)
(513) 569-5210
Entity
Organization
Contact information
Practice address
4020 SMITH RD, CINCINNATI, OH 45209-1936
(513) 221-1100
(513) 569-5297
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 569-5297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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