Provider Demographics
NPI:1033114616
Name:RECHT, MATTHEW H (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:H
Last Name:RECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10506 MONTGOMERY RD STE 302
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10506 MONTGOMERY RD STE 302
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4400
Practice Address - Country:US
Practice Address - Phone:513-865-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083944208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2511062Medicaid
IN200356320Medicaid
OH000000514568OtherANTHEM
KY64098825Medicaid
OH7984643OtherAETNA
11716293OtherCAQH
I22718Medicare UPIN
IN200356320Medicaid
P00236843Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OHRE4205071Medicare PIN
11716293OtherCAQH
OHRE4205072Medicare PIN
OHRE4205073Medicare PIN