Provider Demographics
NPI:1679569842
Name:LEMING, PHILIP D (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:D
Last Name:LEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4460 RED BANK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-2172
Mailing Address - Country:US
Mailing Address - Phone:513-321-4333
Mailing Address - Fax:513-232-0100
Practice Address - Street 1:4460 RED BANK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-2172
Practice Address - Country:US
Practice Address - Phone:513-321-4333
Practice Address - Fax:513-232-0100
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH40534207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH100360560AOtherINDIANA MEDICAID PROVIDER
OH283805OtherAMERIGROUP NUMBER
OH0503002OtherKENTUCKY MEDICARE
OH4053402OtherHUMANA PROVIDER NUMBER
OH5734068OtherAETNA PROVIDER ID
OH000000016084OtherANTHEM PROVIDER NUMBER
OH0395862Medicaid
OHLE0467652Medicare ID - Type UnspecifiedMEDICARE
OH4053402OtherHUMANA PROVIDER NUMBER