Provider Demographics
NPI:1326050378
Name:MARROCHELLO, VERONICA S (DPM)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:S
Last Name:MARROCHELLO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8474 WINTON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4939
Mailing Address - Country:US
Mailing Address - Phone:513-728-4800
Mailing Address - Fax:
Practice Address - Street 1:8474 WINTON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4939
Practice Address - Country:US
Practice Address - Phone:513-728-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-004825213ES0103X
KY245510213E00000X
OH36003000213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016004825Medicaid
KY7100670850Medicaid
ILU66513Medicare UPIN