Organization
OHIO HEART AND VASCULAR CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B MCDONALD (COO, VP)
(513) 351-9900
Entity
Organization
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 351-9900
(513) 366-4480
Mailing address
4380 MALSBARY RD, SUITE 200, CINCINNATI, OH 45242-5644
(513) 351-9900
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018690
ANTHEM
—
05
—
0188470
—
OH
05
—
200076690A
—
IN
05
—
65926560
—
KY
Enumeration date
05/15/2006
Last updated
06/19/2008
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