Provider Demographics
NPI:1255334553
Name:FERMANN, GRETCHEN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:MARIE
Last Name:FERMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-721-3200
Mailing Address - Fax:513-639-3186
Practice Address - Street 1:7495 STATE RD
Practice Address - Street 2:STE 325
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-6402
Practice Address - Country:US
Practice Address - Phone:513-233-2000
Practice Address - Fax:513-624-2684
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35069974F207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0701495OtherUNITED HEALTHCARE
OH160047214OtherMEDICARE RAILROAD
OH2158940OtherAETNA
OH000000074188OtherANTHEM
OH30272773005OtherMEDICAL MUTUAL
OH30272773006OtherMEDICAL MUTUAL
OH311575051038OtherCARESOURCE
OH287938OtherAMERIGROUP
OH69974OtherHUMANA
OH69974OtherHUMANA
OH311575051038OtherCARESOURCE