Individual
DR. JOHN SCOTT CARDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5885 HARRISON AVE, SUITE 3900, CINCINNATI, OH 45248-1691
(513) 662-2500
(513) 662-2511
Mailing address
5300 FAR HILLS AVE, DAYTON, OH 45429-2381
(937) 433-7536
(937) 433-9612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-058847
OH
207NS0135X
Procedural Dermatology Physician
35-058847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000936526
ANTHEM BC/BS
OH
05
—
OH-0232457
—
OH
01
—
P01504660
RAILROAD MEDICARE
OH
Enumeration date
08/29/2005
Last updated
06/08/2017
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