Provider Demographics
NPI:1205802808
Name:LOHR, JOANN M (MD)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:M
Last Name:LOHR
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 1:6350 GLENWAY AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6375
Mailing Address - Country:US
Mailing Address - Phone:513-451-7400
Mailing Address - Fax:513-451-7888
Practice Address - Street 1:6350 GLENWAY AVE STE 208
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6375
Practice Address - Country:US
Practice Address - Phone:513-451-7400
Practice Address - Fax:513-451-7888
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061624208600000X, 2086S0102X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH20027233OtherRR MEDICARE
OH0877412Medicaid
IN200001230Medicaid
OH770002409OtherRR MEDICARE
KY64869837Medicaid
OH0683758Medicare PIN
OH0683757Medicare PIN
OH770002409OtherRR MEDICARE
OHE76686Medicare UPIN