Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 820583807 | OH |
N | 111NI0900X | Internist | 820583807 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 35.080110 | OH |
NPI | 1164497053 |
---|---|
Provider Name | Dr. Gregory Scott Nix |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Cincinnati, OH 45206-2348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 03/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200447090 | (05) | IN |
2342343 | (05) | OH |
64067721 | (05) | KY |
U63919 | (02) | OH |