Provider Demographics
NPI:1518179266
Name:METHERD, WARREN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:LEE
Last Name:METHERD
Suffix:
Gender:M
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:PO BOX 632875
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2875
Mailing Address - Country:US
Mailing Address - Phone:513-853-4731
Mailing Address - Fax:513-569-5199
Practice Address - Street 1:440 RAY NORRISH DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1520
Practice Address - Country:US
Practice Address - Phone:513-671-7700
Practice Address - Fax:513-671-5435
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-052821207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0816737Medicaid
OH0639805Medicare PIN
OH9279101Medicare PIN
OHH110421Medicare PIN
OH0816737Medicaid