Provider Demographics
NPI:1134112089
Name:DE BUYS, PAIGE ANN (MD)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ANN
Last Name:DE BUYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT, PHYSICIAN DIVISION
Mailing Address - Street 2:2ND FL, CBO2-3, ATTN: CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-263-8571
Mailing Address - Fax:513-366-4480
Practice Address - Street 1:2355 NORWOOD AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2750
Practice Address - Country:US
Practice Address - Phone:513-351-0800
Practice Address - Fax:513-351-3970
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082927207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7141681OtherAETNA
OH737697OtherANTHEM
OHH068840OtherMEDICARE
OHP01125371OtherRAIDROAD MEDICARE
OH665202OtherBUCKEYE - MEDICARE
OH2560956OtherMEDICAID
OH744864OtherBUCKEYE - MEDICAID
OH3200446OtherUNITED HEALTH CARE
OH5066678OtherCIGNA
OH2560956Medicaid