Individual
GREGORY S. NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E BUSINESS WAY STE A, CINCINNATI, OH 45241-2374
(513) 354-3700
(513) 354-3705
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7785
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068097
MEDICAID
OH
01
—
477802
OH MEDICARE
OH
Enumeration date
05/20/2006
Last updated
09/19/2020
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