Provider Demographics
NPI:1568427474
Name:FRITZ, DEBORAH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:FRITZ
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 1:10550 MONTGOMERY RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4498
Mailing Address - Country:US
Mailing Address - Phone:513-984-3313
Mailing Address - Fax:513-984-4698
Practice Address - Street 1:10550 MONTGOMERY RD
Practice Address - Street 2:SUITE 23
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4498
Practice Address - Country:US
Practice Address - Phone:513-984-3313
Practice Address - Fax:513-984-4698
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-049127207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64866445Medicaid
OH110020136OtherMEDICARE RAILROAD RETIREM
OH0663812Medicaid
IN200119070Medicaid
A17012Medicare UPIN
OH0663812Medicaid