Provider Demographics
NPI:1801282710
Name:LARDER, BETSY READE (DO)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:READE
Last Name:LARDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:READE
Other - Last Name:RUHLIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:231 ALBERT SABIN WAY # 1654
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0769
Mailing Address - Country:US
Mailing Address - Phone:513-558-8084
Mailing Address - Fax:513-558-5791
Practice Address - Street 1:10500 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-865-2246
Practice Address - Fax:513-865-5596
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY17627C207R00000X
CODR.0074852207R00000X, 2084A2900X
OH58.006009207R00000X
OH34.0130402084A2900X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2565399Medicaid