Provider Demographics
NPI:1194525907
Name:MINT MED
Entity type:Organization
Organization Name:MINT MED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-405-4462
Mailing Address - Street 1:8833 CHAPELSQUARE DR STE C
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-4706
Mailing Address - Country:US
Mailing Address - Phone:513-826-6142
Mailing Address - Fax:346-636-5775
Practice Address - Street 1:8833 CHAPELSQUARE DR STE C
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-4706
Practice Address - Country:US
Practice Address - Phone:513-826-6142
Practice Address - Fax:346-636-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Single Specialty