Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 230912 | MA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 35-091389 | OH |
NPI | 1205979762 |
---|---|
Provider Name | Ian P Rodway |
First Address | Cincinnati, OH 45241-2374 |
Second Address | Cincinnati, OH 45247-7961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000567078 | ANTHEM (01) | OH |
2869427 | (05) | OH |
455048 | WELLCARE (01) | OH |
9354077 | AETNA (01) | OH |
P00740543 | RAILROAD MEDICARE (01) | OH |