EZIS & BLUME DDS, MS LLC (NPI# 1861688020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861688020 |
| Entity Type | Organization |
| Organization Name | EZIS & BLUME DDS, MS LLC |
| Practice Address |
4030 Smith Rd Suite 225 Cincinnati OH 45209-1957 |
| Mailing Address |
4030 Smith Rd Suite 225 Cincinnati OH 45209-2207 |
| Practice Telephone | 5138718488 |
| Practice Fax Number | 5138718490 |
| Mailing Telephone | 5138718488 |
| Mailing Fax Number | 5138718490 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | MRS. BEVERLY DENNIS (BUSINESS MANAGER) |
| Authorized Official Telephone | 5138718488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
30-01-4284 | OH | Dental Providers |
| Street Address |
4030 SMITH RD SUITE 225 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343008 | Todd M Bayer | Specialist | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2005-08-12 |
| 1326671405 | Dental Sleep Solutions of Cincinnati | Clinic/Center | 4030 Smith Rd, Cincinnati, OH 45209-1957 | 2020-02-18 |
| 1942734157 | Ronald J Solomon Dds Angela Ott Dds, Inc | Clinic/Center | 4030 Smith Rd, Suite 110, Cincinnati, OH 45209-1957 | 2017-04-13 |
| 1962947036 | Cranial Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 4030 Smith Rd, Suite 105, Cincinnati, OH 45209-1957 | 2016-12-28 |
| 1811369283 | Stephanie Sobol | Nurse Practitioner | 4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957 | 2015-10-26 |
| 1093103731 | Mercy Health Physicians Cincinnati, LLC | Surgery | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2015-01-05 |
| 1891040168 | Stephanie Ann Racicki | Physical Therapist | 4030 Smith Rd, Suite 375, Cincinnati, OH 45209-1957 | 2012-07-23 |
| 1083970446 | Charles Allen Huff | Nurse Practitioner | 4030 Smith Rd, Ste. 300, Cincinnati, OH 45209-1957 | 2012-04-10 |
| 1487925194 | Jayne Bodenbach | Nurse Practitioner | 4030 Smith Rd, Ste 300, Cincinnati, OH 45209-1974 | 2012-01-26 |
| 1154643039 | Mohi Omer Mitiek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4030 Smith Rd, Suite 300, Cincinnati, OH 45209-1957 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588003768 | Abhishek Amitkumar Patel | Dentist | 4030 Smith Rd Ste 225, Cincinnati, OH 45209-1975 | 2013-06-20 |
| 1225239338 | Aaron Biesbrock | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249-1726 | 2007-05-29 |
| 1437367893 | Mark J Silvers | Dentist | 7710 Shawnee Run Rd, Cincinnati, OH 45243-3176 | 2007-05-18 |
| 1568585685 | Vincent A. Linz | Dentist | 9157 Montgomery Rd Ste 200, 4966 Glenway Avenue Suite 111, Cincinnati, OH 45242-7731 | 2007-04-06 |
| 1154442168 | Mary Ann Hanlon Inc | Dentist | 5213 N Bend Rd, Cincinnati, OH 45247-8025 | 2007-04-03 |
| 1225165624 | Thomas Philip Partridge | Dentist | 7168 Beechmont Ave, Cincinnati, OH 45230-4127 | 2007-02-27 |
| 1588715726 | Raymond Arthur Bonomo | Dentist | 424 Ray Norrish Dr, Cincinnati, OH 45246-1520 | 2007-01-15 |
| 1811095276 | Davd Bradley Krill | Dentist | 10475 Montgomery Rd Ste 1h, Cincinnati, OH 45242-5200 | 2006-09-20 |
| 1245249721 | Mary Ann Hanlon | Dentist | 5213 North Bend Road, Cincinnati, OH 45247-8025 | 2006-08-05 |
| 1144595901 | Raymond Bonomo Periodontics | Dentist | 424 Ray Norrish Dr, Cincinnati, OH 45246-1520 | 2012-03-13 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.