Provider Demographics
NPI:1215908157
Name:DR. JOSEPH T CALIGARIS & ASSOCIATES, INC
Entity type:Organization
Organization Name:DR. JOSEPH T CALIGARIS & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:CALIGARIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-985-9966
Mailing Address - Street 1:PO BOX 710869
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-0869
Mailing Address - Country:US
Mailing Address - Phone:513-421-3504
Mailing Address - Fax:513-231-7055
Practice Address - Street 1:9403 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-985-9966
Practice Address - Fax:513-985-9969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0595281OtherINDIVIDUAL MCR #
IN200021650AMedicaid
OH0615785Medicaid
KY64788250Medicaid
OH0595281OtherINDIVIDUAL MCR #
KY64788250Medicaid