Provider Demographics
NPI:1306970413
Name:HEALTH PLUS MEDICAL MANAGEMENT, INC
Entity type:Organization
Organization Name:HEALTH PLUS MEDICAL MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-752-6900
Mailing Address - Street 1:8190 BEECHMONT AVE
Mailing Address - Street 2:#366
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-6117
Mailing Address - Country:US
Mailing Address - Phone:513-752-6900
Mailing Address - Fax:513-759-2945
Practice Address - Street 1:809 EASTGATE SOUTH DR
Practice Address - Street 2:SUITE A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1564
Practice Address - Country:US
Practice Address - Phone:513-752-6900
Practice Address - Fax:513-759-2945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC 1261111N00000X
OH35. 041429208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0653298Medicaid
OH0370307Medicaid
OHWAO864361Medicare PIN
OHDD5847Medicare PIN
OHME4011001Medicare PIN
OH0653298Medicaid