Provider Demographics
NPI:1275037947
Name:OBERSCHMIDT, NINA (DO)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:OBERSCHMIDT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:PASSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4101 EDWARDS RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1678
Mailing Address - Country:US
Mailing Address - Phone:513-981-4646
Mailing Address - Fax:513-979-2830
Practice Address - Street 1:4101 EDWARDS RD FL 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1678
Practice Address - Country:US
Practice Address - Phone:513-981-4646
Practice Address - Fax:513-979-2830
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.014132207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine