Provider Demographics
NPI:1679504070
Name:MAIER, RICHARD F JR (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:MAIER
Suffix:JR
Gender:M
Credentials:DO
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 713749
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-3749
Mailing Address - Country:US
Mailing Address - Phone:614-761-1255
Mailing Address - Fax:614-761-0849
Practice Address - Street 1:6520 WEST CAMPUS OVAL
Practice Address - Street 2:CENTRAL OHIO SURGICAL INSTITUTE
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054
Practice Address - Country:US
Practice Address - Phone:614-413-2233
Practice Address - Fax:614-413-2234
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003586207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0634639Medicaid
0625941Medicare ID - Type Unspecified