Provider Demographics
NPI:1821039306
Name:HELLMANN, JOSEPH RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:HELLMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT, PHYS DIV
Mailing Address - Street 2:2ND FL, CBO2-3, ATTN: CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-263-8571
Mailing Address - Fax:513-366-4480
Practice Address - Street 1:7691 5 MILE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4348
Practice Address - Country:US
Practice Address - Phone:513-232-3277
Practice Address - Fax:513-232-3444
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH055687207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH793768OtherANTHEM
OH0881283Medicaid
OH270577733076OtherCARESOURCE
OH1628296OtherGATEWAY HEALTH
IN201229680Medicaid
OH4229116OtherAETNA
OHP01139508OtherRAILROAD MEDICARE
OHH141220Medicare PIN
OHP01139508OtherRAILROAD MEDICARE