Active NPI 1447210711 Individual Practitioner Male Practitioner

Dr. Robert Mark Fitz , MD

Internal Medicine • Union, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Fitz, MD is a certified Internal Medicine practicing in Union, KY. With approximately 33 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1993, Dr. Fitz delivers high-quality medical care to the local community at 1808 BRISTOW DR.

Dr. Fitz maintains professional affiliations with Summit Medical Group Inc, Kentucky Rehabilitation Services, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1808 Bristow Dr

Union, KY 410913513

Telephone 8593017210

Fax 8593017216

Associated Practice Facility / Clinic

🏢 Summit Medical Group, Inc Facility NPI 1548677636

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Union, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Union, KY (1608 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fitz (33 Years) 33 Yrs

Union Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,200	15	$0.64	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	511	236	$301.00	$81.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	338	194	$39.00	$15.79
99213 Established patient office or other outpatient visit, typically 15 minutes	251	162	$213.00	$66.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$305.00	$33.14
93000 Routine ekg using at least 12 leads including interpretation and report	159	155	$64.00	$13.26
G0008 Administration of influenza virus vaccine	116	115	$99.14	$28.68
90662 Influenza vaccine split virus, preservative free	107	106	$141.00	$79.16
90480 Admn sarscov2 vacc 1 dose	98	76	$90.00	$37.34
91320 Sarscv2 vac 30mcg trs-suc im	97	75	$289.00	$134.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	26	$33.00	$12.34
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	27	$89.00	$33.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$392.00	$60.45
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	21	21	$159.00	$62.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$392.00	$157.89
99495 Transitional care management services for problem of at least moderate complexity	13	13	$479.00	$77.36
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	12	$42.00	$13.93
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$722.00	$291.31
G0009 Administration of pneumococcal vaccine	12	12	$101.00	$29.45
92250 Photography of the retina	11	11	$87.00	$34.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	217	$180.00	$83.68
99213 Established patient office or other outpatient visit, typically 15 minutes	264	168	$135.00	$66.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$275.00	$41.14
G0008 Administration of influenza virus vaccine	133	129	$38.00	$27.95
90662 Influenza vaccine split virus, preservative free	129	125	$110.00	$70.07
93000 Routine ekg using at least 12 leads including interpretation and report	117	113	$41.00	$13.47
0124A Fee covid-19 vac 13 res	57	54	$90.00	$38.12
90480 Admn sarscov2 vacc 1 dose	56	56	$90.00	$37.44
91320 Sarscv2 vac 30mcg trs-suc im	56	56	$289.00	$126.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	21	$50.00	$13.18
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	30	28	$100.00	$30.17
99495 Transitional care management services for problem of at least moderate complexity	29	27	$345.00	$86.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$270.00	$157.10
G0009 Administration of pneumococcal vaccine	25	25	$38.00	$28.60
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$525.00	$281.73
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$285.00	$52.49
G0010 Administration of hepatitis b vaccine	15	13	$38.00	$28.60
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	14	$26.00	$16.20
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	15	13	$235.00	$153.32
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	12	12	$70.00	$28.64
J1040 Injection, methylprednisolone acetate, 80 mg	12	12	$18.00	$11.97
90471 Administration of 1 vaccine	11	11	$38.00	$18.50
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$110.00	$34.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	231	$176.75	$83.23
99213 Established patient office or other outpatient visit, typically 15 minutes	324	202	$128.28	$64.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	190	$271.34	$35.66
93000 Routine ekg using at least 12 leads including interpretation and report	132	129	$40.24	$13.38
G0008 Administration of influenza virus vaccine	127	125	$38.00	$26.96
90662 Influenza vaccine split virus, preservative free	117	116	$110.00	$68.51
0124A Fee covid-19 vac 13 res	73	73	$90.00	$35.64
0064A Adm sarscov2 50mcg/0.25mlbst	47	45	$90.00	$35.20
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	47	45	$90.00	$35.18
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	40	38	$93.40	$30.51
87400 Detection test for Influenza virus, A or B	38	17	$35.00	$13.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	24	$50.00	$12.77
G0009 Administration of pneumococcal vaccine	36	36	$38.00	$27.12
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$518.45	$279.03
99495 Transitional care management services for problem of at least moderate complexity	25	22	$343.20	$82.32
0134A Fee covid-19 vac 14 res	20	20	$90.00	$35.64
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	19	$115.53	$35.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$270.00	$145.56
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	14	13	$235.00	$149.04
G0010 Administration of hepatitis b vaccine	14	13	$38.00	$26.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	11	$26.00	$16.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$285.00	$42.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	536	255	$173.00	$93.25
99213 Established patient office or other outpatient visit, typically 15 minutes	259	169	$119.35	$61.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	207	207	$188.00	$126.65
G0008 Administration of influenza virus vaccine	149	146	$38.00	$15.52
93000 Routine ekg using at least 12 leads including interpretation and report	149	147	$40.00	$13.73
81003 Automated urinalysis test	144	122	$6.00	$2.25
90662 Influenza vaccine split virus, preservative free	141	138	$109.57	$64.71
0064A Adm sarscov2 50mcg/0.25mlbst	56	56	$90.00	$36.67
0004A Fee covid-19 vac 1 res	40	40	$90.00	$36.67
0003A Adm sarscov2 30mcg/0.3ml 3rd	37	37	$90.00	$36.67
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$214.59	$119.92
G0009 Administration of pneumococcal vaccine	28	28	$38.00	$15.62
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	20	$120.67	$35.33
99495 Transitional care management services for problem of at least moderate complexity	21	19	$285.00	$187.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	17	$101.00	$49.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	15	$50.00	$13.34
0013A Adm sarscov2 100mcg/0.5ml3rd	13	13	$90.00	$36.67
0012A Adm sarscov2 100mcg/0.5ml2nd	13	13	$90.00	$36.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$270.00	$161.49
0011A Adm sarscov2 100mcg/0.5ml1st	12	12	$90.00	$33.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$284.55	$161.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	255	$173.00	$78.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$188.00	$110.66
99213 Established patient office or other outpatient visit, typically 15 minutes	188	131	$119.00	$54.81
93000 Routine ekg using at least 12 leads including interpretation and report	150	149	$40.00	$15.96
81003 Automated urinalysis test	148	134	$6.00	$2.22
G0008 Administration of influenza virus vaccine	139	135	$38.00	$15.60
90662 Influenza vaccine split virus, preservative free	130	127	$90.00	$59.71
G0009 Administration of pneumococcal vaccine	59	59	$38.00	$14.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	51	51	$160.49	$113.02
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	45	34	$235.00	$121.14
G0010 Administration of hepatitis b vaccine	43	33	$38.00	$13.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	17	$50.00	$12.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$270.00	$159.97
82044 Urine microalbumin (protein) analysis	20	20	$7.00	$5.61
83036 Hemoglobin A1C level	18	14	$23.00	$8.56
J1040 Injection, methylprednisolone acetate, 80 mg	16	13	$17.19	$11.59
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$107.50	$63.38
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$35.00	$15.96
99495 Transitional care management services for problem of at least moderate complexity	14	13	$265.00	$162.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$280.00	$163.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	279	$170.16	$77.77
99213 Established patient office or other outpatient visit, typically 15 minutes	280	188	$116.34	$51.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	225	225	$183.55	$108.97
93000 Routine ekg using at least 12 leads including interpretation and report	195	189	$40.00	$15.87
G0008 Administration of influenza virus vaccine	170	165	$38.00	$15.13
90662 Influenza vaccine split virus, preservative free	159	155	$90.00	$53.77
81002 Urinalysis, manual test	117	102	$6.00	$3.35
81003 Automated urinalysis test	116	110	$6.00	$2.44
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	87	55	$235.00	$124.05
G0010 Administration of hepatitis b vaccine	86	53	$38.00	$15.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	37	$50.00	$15.18
G0009 Administration of pneumococcal vaccine	56	56	$38.00	$15.04
J0696 Injection, ceftriaxone sodium, per 250 mg	56	14	$17.00	$0.59
82044 Urine microalbumin (protein) analysis	38	37	$7.00	$6.11
99495 Transitional care management services for problem of at least moderate complexity	35	31	$257.14	$154.87
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$130.00	$107.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$26.00	$15.68
J1040 Injection, methylprednisolone acetate, 80 mg	26	23	$15.23	$11.40
90670 Pneumococcal vaccine for injection into muscle	25	25	$325.00	$200.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$260.53	$156.63
83036 Hemoglobin A1C level	17	17	$23.00	$10.57
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	15	15	$65.00	$27.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$274.62	$163.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	572	264	$168.00	$84.30
99213 Established patient office or other outpatient visit, typically 15 minutes	293	173	$114.00	$56.61
81002 Urinalysis, manual test	200	168	$6.00	$3.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	198	198	$177.00	$108.41
93000 Routine ekg using at least 12 leads including interpretation and report	160	155	$37.00	$15.40
G0008 Administration of influenza virus vaccine	148	146	$38.00	$18.71
90662 Influenza vaccine split virus, preservative free	140	138	$86.96	$51.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	26	$50.00	$18.09
G0009 Administration of pneumococcal vaccine	57	57	$38.00	$18.70
82044 Urine microalbumin (protein) analysis	43	43	$7.00	$6.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$130.00	$102.48
90471 Administration of 1 vaccine	33	32	$38.00	$17.12
90670 Pneumococcal vaccine for injection into muscle	26	26	$325.00	$184.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$266.00	$154.61
J1040 Injection, methylprednisolone acetate, 80 mg	25	20	$13.88	$11.96
99495 Transitional care management services for problem of at least moderate complexity	16	14	$254.00	$153.33
69210 Removal of impacted ear wax	15	14	$103.00	$45.75
83036 Hemoglobin A1C level	14	12	$23.00	$11.75
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	13	13	$36.00	$24.02
92250 Photography of the retina	12	12	$128.00	$52.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$83.00	$50.12
90682 Influenza vaccine, quadrivalent derived from recombinant dna	11	11	$89.09	$47.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	598	260	$168.00	$91.55
99213 Established patient office or other outpatient visit, typically 15 minutes	337	186	$114.00	$62.72
81002 Urinalysis, manual test	193	164	$6.00	$3.22
G0008 Administration of influenza virus vaccine	173	169	$38.00	$22.90
90662 Influenza vaccine split virus, preservative free	156	152	$72.39	$47.54
93000 Routine ekg using at least 12 leads including interpretation and report	153	142	$37.00	$15.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$177.00	$105.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	33	$50.00	$22.35
J0696 Injection, ceftriaxone sodium, per 250 mg	68	12	$17.00	$0.61
82044 Urine microalbumin (protein) analysis	37	37	$7.00	$5.86
G0009 Administration of pneumococcal vaccine	34	34	$38.00	$22.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$130.00	$82.94
J1040 Injection, methylprednisolone acetate, 80 mg	24	23	$10.00	$9.53
90471 Administration of 1 vaccine	23	22	$38.00	$19.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$83.00	$49.84
69210 Removal of impacted ear wax	20	15	$103.00	$45.57
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$30.95	$15.73
99495 Transitional care management services for problem of at least moderate complexity	16	15	$254.00	$151.54
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	15	15	$36.00	$22.12
90670 Pneumococcal vaccine for injection into muscle	13	13	$267.46	$187.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$266.00	$159.35
82270 Stool analysis for blood to screen for colon tumors	13	13	$6.00	$4.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$258.00	$153.63

Medical Specialties & State Licenses

CMS Verified: 2021-02-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 33542

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KY 33542

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64037591 (KY)

Commercial Insurance / Payer ID Medicaid

2261887 (OH)

Hospital & Practice Group Affiliations

Kentucky Rehabilitation Services, Inc.

580 Buttermilk Pike, Crescent Springs, KY 410171635

Phone: 8593416654

Summit Medical Group Inc

Po Box, Cincinnati, OH 452635283

Summit Medical Group Inc

Po Box, Cincinnati, OH 452635283

Summit Medical Group Inc

300 Barnes Rd, Williamstown, KY 410979483

Phone: 8598248400

Summit Medical Group Inc

1808 Bristow Dr, Union, KY 410913513

Phone: 8593017210

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Melonie Proctor , DO

Family Medicine

NPI 1205075116

Doctor of Osteopathic Medicine (D.O.)

Dr. Corey Gallus , DO

Family Medicine

NPI 1457333502

Doctor of Osteopathic Medicine (D.O.)

Dr. Cayla Masarik , MD

Family Medicine

NPI 1558939686

Doctor of Medicine (M.D.)

Dr. Brian Walters , MD

Family Medicine

NPI 1750511929

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 17, 2021

Registered at 1808 BRISTOW DR, UNION, KY 410913513 (Tel: 8593017210)

📍

Updated Business Mailing Address September 21, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593017210)

✅

NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2015

Registered at 1808 MOUNT ZION RD, UNION, KY 410919516 (Tel: 8593017210)

📍

Updated Business Mailing Address September 23, 2015

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171673 (Tel: 8593445555)

👤

Provider Name / Credentials Updated September 23, 2015

Recorded as ROBERT FITZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Internal Medicine (License #33542 in KY)

🟢

Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1447210711

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 23, 2006

Last Update: March 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593017210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.