Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35.062680 | OH |
N | 207X00000X | Orthopaedic Surgeon | 35062680G | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | 3506280G | OH |
NPI | 1205884822 |
---|---|
Provider Name | Dr. Anthony F Guanciale |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 05/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0162201 | (05) | OH |
162201 | (05) | OH |
200024475 | RAILROAD MEDICARE (01) | OH |
200051170 | (05) | IN |
64939127 | (05) | KY |
F84636 | (02) | |
F84636 | (02) | OH |
H164280 | MEDICARE (01) | OH |