Provider Demographics
NPI:1396743563
Name:HARDING, WARREN GAMALIEL III (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:GAMALIEL
Last Name:HARDING
Suffix:III
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 1:3950 RED BANK RD.
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3429
Mailing Address - Country:US
Mailing Address - Phone:513-333-2580
Mailing Address - Fax:513-333-2584
Practice Address - Street 1:3950 RED BANK RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3429
Practice Address - Country:US
Practice Address - Phone:513-333-2580
Practice Address - Fax:513-333-2584
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35038196207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH719906OtherANTHEM
OH0295612OtherMEDICAID
OH0920336OtherUNITED HEALTHCARE
OH744313OtherBUCKEYE MEDICARE
OH0295612Medicaid
OH1629646OtherGATEWAY HEALTH
OH1783873001OtherCIGNA
OH200011147OtherMEDICARE RAILROAD
OHH002091OtherMEDICARE
OH447249OtherWELLCARE
OH1396743563OtherMEDICAL MUTUAL
OH691339OtherBUCKEYE MEDICAID
OH273088817056OtherCARESOURCE
OHP01157227OtherRAILROAD MEDICARE
OH000000004350OtherANTHEM
OH4045279OtherAETNA
CO1241Medicare UPIN
OHH002091OtherMEDICARE
OH719906OtherANTHEM
OH0225920002Medicare NSC