Provider Demographics
NPI:1952347759
Name:OHMER, RICHARD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JAMES
Last Name:OHMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:179 ANNANDALE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5226
Mailing Address - Country:US
Mailing Address - Phone:513-907-2657
Mailing Address - Fax:
Practice Address - Street 1:650 SPRUCEWOOD LN
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1062
Practice Address - Country:US
Practice Address - Phone:859-282-6600
Practice Address - Fax:859-282-8817
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074087207Q00000X
KY38905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOH0868731Medicare ID - Type UnspecifiedDUCO MILFORD
KY0793817Medicare ID - Type UnspecifiedDUCO ERLANGER
OHG91426Medicare UPIN
OHOH0868737Medicare ID - Type UnspecifiedDUCO MIDDLETOWN/FRANKLIN
OHOH0868731Medicare ID - Type UnspecifiedDUCO MILFORD
OHOH0868735Medicare ID - Type UnspecifiedDUCO DAYTON
KY0793817Medicare ID - Type UnspecifiedDUCO ERLANGER
OHOH0868733Medicare ID - Type UnspecifiedDUCO KETTERING