Individual
DR. TIMOTHY EDWARD KREMCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Mailing address
500 E-BUSINESS WAY, SUITE A, CINCINNATI, OH 45241-1319
(513) 354-3700
(513) 354-3705
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35-05-6040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021083
ANTHEM
OH
01
—
0901041
UNITED HEALTH CARE
OH
05
—
0941306
—
OH
01
—
410333
WELLCARE
OH
01
—
56040
HUMANA
OH
01
—
955119
AETNA
OH
Enumeration date
10/24/2005
Last updated
10/02/2012
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