Provider Demographics
NPI:1538338025
Name:DOZIER, EMILY J (DO)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:J
Last Name:DOZIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638685
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8685
Mailing Address - Country:US
Mailing Address - Phone:859-572-3617
Mailing Address - Fax:833-643-8146
Practice Address - Street 1:1 MEDICAL VILLAGE DR
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3403
Practice Address - Country:US
Practice Address - Phone:859-301-2250
Practice Address - Fax:859-572-2326
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014241207P00000X
IN02006134A207P00000X
KY03123207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100070290Medicaid
IN200939540Medicaid
OH2937684Medicaid
KY0969450Medicare PIN
KYK180880Medicare PIN
OH2937684Medicaid