Provider Demographics
NPI:1508861303
Name:CENTER FOR RESEARCH IN SLEEP DISORDERS
Entity Type:Organization
Organization Name:CENTER FOR RESEARCH IN SLEEP DISORDERS
Other - Org Name:TRI-STATE SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-671-3101
Mailing Address - Street 1:1275 E KEMPER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3901
Mailing Address - Country:US
Mailing Address - Phone:513-671-3101
Mailing Address - Fax:
Practice Address - Street 1:1275 E KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3901
Practice Address - Country:US
Practice Address - Phone:513-671-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31281585174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0654744OtherAETNA
OH000000012000Medicare UPIN