Individual
MARY MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN ST, ML 0772, CINCINNATI, OH 45267-1000
(513) 584-5335
(584) 584-3663
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
(513) 585-5501
(513) 584-3663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-05-4612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013495
ANTHEM
OH
05
—
0701226
—
OH
01
—
1621098
UHC
OH
05
—
200129330A
—
IL
01
—
645406
AETNA
OH
05
—
64860372
—
KY
Enumeration date
05/24/2006
Last updated
10/18/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us