Provider Demographics
NPI:1033188750
Name:NINTCHEFF, PETER (MD)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:NINTCHEFF
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 1:17534 ROYALTON ROAD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-5151
Mailing Address - Country:US
Mailing Address - Phone:440-238-5030
Mailing Address - Fax:440-238-0030
Practice Address - Street 1:17534 ROYALTON ROAD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-5151
Practice Address - Country:US
Practice Address - Phone:440-238-5030
Practice Address - Fax:440-238-0030
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 028593207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0163022Medicaid
OHA71147Medicare UPIN
OH0163022Medicaid
OH0140083Medicare PIN