Provider Demographics
NPI:1043428212
Name:CHEN, MICHAEL ROY (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROY
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3301 MERCY HEALTH BLVD STE 450
Mailing Address - Street 2:STE 450
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1106
Mailing Address - Country:US
Mailing Address - Phone:513-981-6784
Mailing Address - Fax:513-389-4075
Practice Address - Street 1:3301 MERCY HEALTH BLVD STE 450
Practice Address - Street 2:STE 450
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1106
Practice Address - Country:US
Practice Address - Phone:513-981-6784
Practice Address - Fax:513-389-4075
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111940207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery