Individual
DR. LOREN FORREST HIRATZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10506 MONTGOMERY RD, SUITE 302, CINCINNATI, OH 45242
(513) 865-5120
(513) 865-5121
Mailing address
10506 MONTGOMERY ROAD, SUITE 302, CINCINNATI, OH 45242
(513) 865-5120
(513) 865-5121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25039
KY
208600000X
Surgery Physician
18359
IA
208600000X
Surgery Physician
25039
KY
208600000X
Surgery Physician
35054450H
OH
208600000X
Surgery Physician
C34038
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
18359
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25039
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35054450H
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C34038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005631
ANTHEM
—
05
—
0640202
—
OH
01
—
1820061
UNITEDHEALTHCARE
—
05
—
200057970A
—
IN
01
—
310804060031
CARESOURCE
—
01
—
54450
CHOICE CARE/HUMANA
—
05
—
64862717
—
KY
01
—
8330
KY BCBS
—
Enumeration date
08/22/2005
Last updated
03/25/2014
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