Provider Demographics
NPI:1720093586
Name:GREATER CINCINNATI DIGESTIVE HEALTH NETWORK
Entity Type:Organization
Organization Name:GREATER CINCINNATI DIGESTIVE HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOOLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-233-4900
Mailing Address - Street 1:PO BOX 632958
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2958
Mailing Address - Country:US
Mailing Address - Phone:513-451-9698
Mailing Address - Fax:513-451-9699
Practice Address - Street 1:4805 MONTGOMERY RD STE 160
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2280
Practice Address - Country:US
Practice Address - Phone:513-721-5300
Practice Address - Fax:513-721-5166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCD8451OtherRAILROAD MEDICARE
OH0235150Medicaid
OH9281488Medicare PIN
OH9361092Medicare PIN
OH9293484Medicare PIN
OH9293487Medicare PIN
OH0235150Medicaid
OH9293482Medicare PIN
OH9293353Medicare PIN
OH9293483Medicare PIN
OH9361091Medicare PIN
OH9293351Medicare PIN
OH9293488Medicare PIN
OH9293489Medicare PIN
OH9361093Medicare PIN
OH9281481Medicare PIN
OHCD8451OtherRAILROAD MEDICARE
OH9293356Medicare PIN