Provider Demographics
NPI:1336142223
Name:FINK, RICHARD WILLIAM
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM
Last Name:FINK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5885 HARRISON AVE
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-1691
Mailing Address - Country:US
Mailing Address - Phone:513-922-6666
Mailing Address - Fax:513-922-1812
Practice Address - Street 1:5885 HARRISON AVE
Practice Address - Street 2:SUITE 3100
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-1691
Practice Address - Country:US
Practice Address - Phone:513-922-6666
Practice Address - Fax:513-922-1812
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35033574F207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00126800OtherMEDICARE RAILROAD
OH0720493OtherUNITED HEALTHCARE
OH287567OtherAMERIGROUP
OH3357401OtherHUMANA
OH0308278Medicaid
OH28384417012OtherMEDICAL MUTUAL
OH311575051051OtherCARESOURCE
OH000000190807OtherANTHEM
OH2517524OtherAETNA
OH3357401OtherHUMANA
OHP00126800OtherMEDICARE RAILROAD
OH0308278Medicaid
OHFI0426257Medicare PIN