Individual
MICHAEL D PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3113 BELLEVUE AVE FL 3, CINCINNATI, OH 45219-3158
(513) 652-6500
(513) 475-8033
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-0001
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
35054494
OH
2084N0400X
Neurology Physician
Primary
35054494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645403
—
OH
01
—
130010777
MEDICARE RAILROAD
OH
Enumeration date
06/26/2006
Last updated
09/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us