Provider Demographics
NPI:1811239288
Name:SEARLES, AILEEN V (MD)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:V
Last Name:SEARLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7335 YANKEE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-0007
Mailing Address - Country:US
Mailing Address - Phone:513-336-6700
Mailing Address - Fax:513-398-2109
Practice Address - Street 1:7335 YANKEE RD STE 100
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-0007
Practice Address - Country:US
Practice Address - Phone:513-336-6700
Practice Address - Fax:513-398-2109
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2016-00971208000000X
OH35.139462208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program