Provider Demographics
NPI:1215028089
Name:RAYMOND H HELLMANN III MD INC
Entity type:Organization
Organization Name:RAYMOND H HELLMANN III MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HELLMANN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:513-281-2338
Mailing Address - Street 1:330 STRAIGHT ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1068
Mailing Address - Country:US
Mailing Address - Phone:513-281-2338
Mailing Address - Fax:513-281-3853
Practice Address - Street 1:330 STRAIGHT ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1064
Practice Address - Country:US
Practice Address - Phone:513-281-2338
Practice Address - Fax:513-281-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35040841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHE0487872OtherMEDICARE
OHHE0487873OtherMEDICARE
OH00000004OtherANTHEM
OH0366769Medicaid
OH0366769Medicaid