Organization
FOOT SPECIALISTS OF GREATER CINCINNATI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M TIRONE DPM (PRESIDENT)
(859) 341-9900
Entity
Organization
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, SUITE 302, COVINGTON, KY 41011-0801
(859) 341-9900
(859) 341-1649
Mailing address
2865 CHANCELLOR DR, SUITE 205, CRESTVIEW HILLS, KY 41017-3912
(859) 341-9900
(859) 341-1649
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0164
KY
335E00000X
Prosthetic/Orthotic Supplier
0164
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80900004
—
KY
05
—
90003757
—
KY
Enumeration date
10/12/2011
Last updated
08/04/2014
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