Individual
JOHN PAUL RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 721-8881
(513) 287-5805
Mailing address
4380 MALSBARY RD, SUITE 200, CINCINNATI, OH 45242-5644
(513) 366-4488
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35053033
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196937
ANTHEM MIDDLETOWN
OH
01
—
000000205152
ANTHEM CINCINNATI
OH
01
—
00000196937
ANTHEM CLINTON COUNTY
OH
01
—
06550099
AETNA
—
05
—
0744261
—
OH
01
—
2520384
UNITED
—
01
—
284915
AMERIGROUP
—
01
—
311438871036
CARESOURCE
OH
01
—
53033-08
HUMANA
—
05
—
64862147
—
KY
Enumeration date
04/11/2006
Last updated
11/29/2023
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