Provider Demographics
NPI:1710061916
Name:CENTER FOR RESEARCH IN SLEEP DISORDERS
Entity Type:Organization
Organization Name:CENTER FOR RESEARCH IN SLEEP DISORDERS
Other - Org Name:TRI STATE SLEEP DISORDERS CETER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIB
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-671-3101
Mailing Address - Street 1:1275 E KEMPER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3901
Mailing Address - Country:US
Mailing Address - Phone:513-671-3101
Mailing Address - Fax:513-671-8400
Practice Address - Street 1:1275 E KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3901
Practice Address - Country:US
Practice Address - Phone:513-671-3101
Practice Address - Fax:513-671-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2556970Medicaid
OH=========006Medicare UPIN
OH0978660001Medicare NSC
OHHUMANAMedicare UPIN
OH000000358749Medicare UPIN