Provider Demographics
NPI:1154392314
Name:GREATER CINCINNATI OBSTETRICS & GYNECOLOGY LTD.
Entity type:Organization
Organization Name:GREATER CINCINNATI OBSTETRICS & GYNECOLOGY LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENCIA
Authorized Official - Middle Name:RIEL
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-671-2411
Mailing Address - Street 1:12053 SHERATON LANE, BLDG 5
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-671-2411
Mailing Address - Fax:513-326-5572
Practice Address - Street 1:12053 SHERATON LANE, BLDG 5
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246
Practice Address - Country:US
Practice Address - Phone:513-671-2411
Practice Address - Fax:513-326-5572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0256404Medicaid
OH9284686Medicare PIN
OH9284687Medicare PIN
OH9284685Medicare PIN
OH9284681Medicare PIN
OH9284682Medicare PIN
OH9284688Medicare PIN
OH0256404Medicaid
OH9284684Medicare PIN