Individual
SAMUEL RUSSELL VESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 475-8787
(513) 929-7239
Mailing address
4750 E GALBRAITH RD STE 215, CINCINNATI, OH 45236-6706
(513) 421-3494
(513) 345-2606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29644
KY
208600000X
Surgery Physician
35061926V
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
29644
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.061926
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35061926V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005014
ANTHEM
—
05
—
0840862
—
OH
01
—
1820066
UNITED HEALTHCARE
—
05
—
200058070B
—
IN
01
—
310804060033
CARESOURCE
—
01
—
61926
CHOICE CARE/HUMANA
—
05
—
64296445
—
KY
01
—
8330
KY BCBS
—
Enumeration date
07/04/2006
Last updated
07/14/2023
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