ALAN J ANNENBERG M.D. NPI 1891729158

NPI Information

NPI: 1891729158
Provider Name: ALAN J ANNENBERG, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
4030 SMITH RD
SUITE 300
CINCINNATI, OH
ZIP 45209
Phone: (513) 421-3494
Get Directions

Alan J Annenberg, M.D. is a vascular surgery surgery in Cincinnati, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Alan J Annenberg, M.D. NPI is 1891729158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4030 SMITH RD
SUITE 300
CINCINNATI, OH
ZIP 45209-957
Phone: (513) 421-3494
Fax: (513) 345-2606

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		35049257A	OHIO	No
2	208600000X	Surgery		25980	KENTUCKY	No
3	2086S0129X	Surgery	Vascular Surgery	35049257A	OHIO	Yes
4	2086S0129X	Surgery	Vascular Surgery	25980	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	49257	OTHER		CHOICE CARE/HUMANA
2	0677811	MEDICARE PIN	KENTUCKY
3	0695636	MEDICAID	OHIO
4	200001270	MEDICAID	INDIANA
5	8330	OTHER		KY BCBS
6	A17324	MEDICARE UPIN
7	770002893	MEDICARE PIN
8	000000211187	OTHER		ANTHEM
9	310804060032	OTHER		CARESOURCE
10	0612585	MEDICARE PIN	OHIO
11	1702166	OTHER		UNITED HEALTHCARE
12	0612585	MEDICARE ID-TYPE UNSPECIFIED	OHIO	OH MEDICARE
13	770002893	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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