Provider Demographics
NPI:1629076104
Name:VOSS, DEWARD H (MD)
Entity Type:Individual
Prefix:
First Name:DEWARD
Middle Name:H
Last Name:VOSS
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 633448
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-3448
Mailing Address - Country:US
Mailing Address - Phone:513-569-6117
Mailing Address - Fax:513-853-4740
Practice Address - Street 1:375 DIXMYTH AVE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2475
Practice Address - Country:US
Practice Address - Phone:513-862-6200
Practice Address - Fax:513-862-4358
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25655207VM0101X
OH35070734V207VM0101X
OH35.070734207VX0000X
OH35-070734207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH05688603Medicaid
OH0568603Medicaid
OH05688603Medicaid
OH0818871Medicare PIN
OH0568603Medicaid
OH0818872Medicare PIN
OH0818874Medicare PIN