Provider Demographics
NPI:1982024733
Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF CINCINNATI MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-598-9365
Mailing Address - Street 1:231 ALBERT SABIN WAY
Mailing Address - Street 2:ROOM 4110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0212
Mailing Address - Country:US
Mailing Address - Phone:513-558-4592
Mailing Address - Fax:513-558-2220
Practice Address - Street 1:231 ALBERT SABIN WAY
Practice Address - Street 2:ROOM 4110
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0212
Practice Address - Country:US
Practice Address - Phone:513-558-4592
Practice Address - Fax:513-558-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-20
Last Update Date:2014-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital