Provider Demographics
NPI:1093712283
Name:MEHLMAN, NED (MD)
Entity Type:Individual
Prefix:DR
First Name:NED
Middle Name:
Last Name:MEHLMAN
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:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-655-9500
Mailing Address - Fax:859-655-3077
Practice Address - Street 1:1500 JAMES SIMPSON JR WAY
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-0801
Practice Address - Country:US
Practice Address - Phone:859-655-9500
Practice Address - Fax:859-655-3077
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-1865207RC0000X
IN01086851A207RC0000X
KY32574207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0562610OtherMEDICARE
KY64766033Medicaid
OH611300608070OtherCARESOURCE
OHP00884971OtherRAILROAD MEDICARE
060036835OtherRR MEDICARE
KY0369007OtherMEDICARE
OH0426506Medicaid
OHME4127833Medicare PIN
OH0480503Medicare PIN
KY0369007OtherMEDICARE
KY64766033Medicaid
OH0426506Medicaid
KYP400019617Medicare PIN
OH0480506Medicare PIN