Provider Demographics
NPI:1952492258
Name:RONE, JEROD M (MD)
Entity Type:Individual
Prefix:DR
First Name:JEROD
Middle Name:M
Last Name:RONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 643727
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0309
Mailing Address - Country:US
Mailing Address - Phone:937-641-3414
Mailing Address - Fax:937-641-5446
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:RM 4085
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1898
Practice Address - Country:US
Practice Address - Phone:937-641-3414
Practice Address - Fax:937-641-5446
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.065689R2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0954089Medicaid