Provider Demographics
NPI:1225067184
Name:FIVE MILE MEDICAL ARTS ASSOCIATES, INC.
Entity Type:Organization
Organization Name:FIVE MILE MEDICAL ARTS ASSOCIATES, INC.
Other - Org Name:KREINDLER MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:KREINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-474-8500
Mailing Address - Street 1:10945 REED HARTMAN HWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2828
Mailing Address - Country:US
Mailing Address - Phone:513-474-8500
Mailing Address - Fax:
Practice Address - Street 1:10945 REED HARTMAN HWY
Practice Address - Street 2:SUITE 209
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-2828
Practice Address - Country:US
Practice Address - Phone:513-474-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.038518207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9207953Medicare ID - Type Unspecified