1700986007 NPI number — LOHR SURGICAL SPECIALISTS LTD

Table of content: (NPI 1700986007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700986007 NPI number — LOHR SURGICAL SPECIALISTS LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOHR SURGICAL SPECIALISTS LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700986007
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6350 GLENWAY AVE STE 208
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45211-6375
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-451-7400
Provider Business Mailing Address Fax Number:
513-451-7888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6350 GLENWAY AVE STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45211-6375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-451-7400
Provider Business Practice Location Address Fax Number:
513-451-7888
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LOHR
Authorized Official First Name:
JOANN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
513-451-7400

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0129X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200894750A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200894750B , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200894750C , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65909632 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: DP0778 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2952943 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200894750E , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200894750D , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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