Provider Demographics
NPI:1841204088
Name:REISING, JOSEPH M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:REISING
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 1:7469 GLENDALE MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:CAMP DENNISON
Mailing Address - State:OH
Mailing Address - Zip Code:45111-9731
Mailing Address - Country:US
Mailing Address - Phone:513-489-6222
Mailing Address - Fax:
Practice Address - Street 1:6355 E KEMPER RD
Practice Address - Street 2:SUITE LL1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2380
Practice Address - Country:US
Practice Address - Phone:513-247-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-052084208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA17352Medicare UPIN