Individual
DR. MARK R JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 MERCY HEALTH BLVD STE 2010, CINCINNATI, OH 45211-1103
(513) 961-4335
(513) 872-5769
Mailing address
3300 MERCY HEALTH BLVD STE 2010, CINCINNATI, OH 45211-1103
(513) 961-4335
(513) 872-5769
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35085981
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200515190A
—
IN
05
—
2580407
—
OH
05
—
64103476
—
KY
05
—
7100056850
—
KY
01
—
P00274332
RAILROAD MEDICARE
—
Enumeration date
02/21/2006
Last updated
09/26/2019
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