Organization
GREATER CINCINNATI CARDIOVASCULAR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F. THOMAS JENIKE MD (PRESIDENT)
(513) 751-4222
Entity
Organization
Contact information
Practice address
2123 AUBURN AVENUE, SUITE 624, CINCINNATI, OH 45219-2906
(513) 751-4222
(513) 751-4353
Mailing address
2123 AUBURN AVENUE, SUITE 624, CINCINNATI, OH 45219-2906
(513) 751-4222
(513) 751-4353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35031105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015271
ANTHEM
—
05
—
100028740
—
IN
05
—
65919193
—
KY
05
—
845447
—
OH
Enumeration date
07/15/2005
Last updated
09/09/2010
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