Individual
DR. JOHN MICHAEL SAMOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8245 NORTHCREEK DR, CINCINNATI, OH 45236-2283
(513) 745-1706
(513) 891-2197
Mailing address
4600 WESLEY AVE, STE. N, CINCINNATI, OH 45212-2298
(513) 841-5220
(513) 841-1580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35083093S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369006
ANTHEM
OH
01
—
07-05611
UNITED HEALTHCARE
OH
05
—
2607950
—
OH
01
—
299932
AMERIGROUP
OH
01
—
7489687
AETNA
OH
Enumeration date
10/31/2005
Last updated
02/25/2009
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