Provider Demographics
NPI:1043383094
Name:MEDICAL ASSOCIATES OF CINCINNATI INC
Entity type:Organization
Organization Name:MEDICAL ASSOCIATES OF CINCINNATI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-985-9800
Mailing Address - Street 1:PO BOX 641210
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0304
Mailing Address - Country:US
Mailing Address - Phone:513-985-9800
Mailing Address - Fax:513-985-9833
Practice Address - Street 1:4760 E GALBRAITH RD
Practice Address - Street 2:#203
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6703
Practice Address - Country:US
Practice Address - Phone:513-985-9800
Practice Address - Fax:513-985-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0471332Medicaid
OH0471332Medicaid
OHCF1302Medicare Oscar/Certification