Organization
MERCY HEALTH PHYSICIANS CINCINNATI, LLC
Active
Other names
Mercy Health Cardiovascular, Thoracic, Vascular and Endovascular
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSIE HAVLIN (PAYER CREDENTIALING)
(513) 981-4684
Entity
Organization
Contact information
Practice address
4030 SMITH RD, SUITE 300, CINCINNATI, OH 45209-1957
(513) 421-3494
(513) 345-2606
Mailing address
4030 SMITH RD, SUITE 300, CINCINNATI, OH 45209-1957
(513) 421-3494
(513) 345-2606
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270942
—
OH
Enumeration date
01/05/2015
Last updated
01/05/2015
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