Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35083944 | OH |
N | 208600000X | Surgeon | 35083944 | OH |
Y | 2086S0129X | Vascular Surgeon | 35083944 | OH |
NPI | 1033114616 |
---|---|
Provider Name | Dr. Matthew H Recht |
First Address | Cincinnati, OH 45242-4400 |
Second Address | Cincinnati, OH 45242-4400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 25/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000514568 | ANTHEM (01) | OH |
11716293 | CAQH (01) | |
200356320 | (05) | IN |
2511062 | (05) | OH |
64098825 | (05) | KY |
7984643 | AETNA (01) | OH |
I22718 | (02) |