Provider Demographics
NPI:1457389124
Name:THOMAS, RENATE WACHTER (MD)
Entity Type:Individual
Prefix:DR
First Name:RENATE
Middle Name:WACHTER
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 NEUMANN WAY
Mailing Address - Street 2:BUILDING 750
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1915
Mailing Address - Country:US
Mailing Address - Phone:513-853-8900
Mailing Address - Fax:513-853-8998
Practice Address - Street 1:1 NEUMANN WAY
Practice Address - Street 2:BUILDING 750
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1915
Practice Address - Country:US
Practice Address - Phone:513-853-8900
Practice Address - Fax:513-853-8998
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35066023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0980998Medicaid
OHH328260Medicare PIN
OH0980998Medicaid