Individual
CHARLES W ABBOTTSMITH
Active
Individual
CHARLES W ABBOTTSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35029506
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.029506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019879
ANTHEM CINCINNATI
OH
01
—
000000238154
ANTHEM MIDDLETOWN
OH
05
—
0380083
—
OH
01
—
060033890
RAILROAD MEDICARE
—
05
—
100009840
—
IN
01
—
2520405
UNITED HEALTHCARE
—
01
—
283677
AMERIGROUP
—
01
—
29506-05
HUMANA CHOICECARE
OH
01
—
641388
AETNA
OH
05
—
64787617
—
KY
Enumeration date
12/21/2005
Last updated
01/06/2015
Update your record
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