Provider Demographics
NPI:1619166642
Name:HELLMANN, RAYMOND H III (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:H
Last Name:HELLMANN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:619 OAK ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-1613
Mailing Address - Country:US
Mailing Address - Phone:513-569-6014
Mailing Address - Fax:513-569-5973
Practice Address - Street 1:619 OAK ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-1613
Practice Address - Country:US
Practice Address - Phone:513-569-6014
Practice Address - Fax:513-569-5973
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35040841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000040644OtherANTHEM
OHHE0487872OtherMEDICARE
OHHE0487873OtherMEDICARE
OH0366769Medicaid
OH0366769Medicaid
OHHE0487872OtherMEDICARE