Provider Demographics
NPI:1083178990
Name:PARTUSCH, MOLLY ANN (PA)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:PARTUSCH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD FL 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:513-263-8551
Mailing Address - Fax:513-263-8622
Practice Address - Street 1:7589 TYLERS PLACE BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6308
Practice Address - Country:US
Practice Address - Phone:513-755-4700
Practice Address - Fax:513-755-4717
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50.005708RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant