Organization
PODIATRY ASSOCIATES OF CINCINNATI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN GRINSPAN (PRACTICE MANAGER)
(513) 474-4450
Entity
Organization
Contact information
Practice address
4357 FERGUSON DR STE 150, CINCINNATI, OH 45245-1760
(513) 474-4450
(513) 474-6387
Mailing address
4357 FERGUSON DR STE 150, CINCINNATI, OH 45245-1760
(513) 474-4450
(513) 474-6387
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000251377
ANTHEM
OH
05
—
2364749
—
OH
01
—
CK5052
RAILROAD MEDICARE
—
Enumeration date
10/03/2006
Last updated
03/11/2020
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