Provider Demographics
NPI:1326265794
Name:TUSSEY, ROCIO GUADALUPE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:GUADALUPE
Last Name:TUSSEY
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 1:10475 READING RD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2563
Mailing Address - Country:US
Mailing Address - Phone:513-585-9600
Mailing Address - Fax:513-585-9668
Practice Address - Street 1:10475 READING RD
Practice Address - Street 2:SUITE 405
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2563
Practice Address - Country:US
Practice Address - Phone:513-585-9600
Practice Address - Fax:513-585-9668
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-091193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2867590Medicaid
OHP00856831OtherMEDICARE RR
OH4236562Medicare PIN