Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME108983 | FL |
NPI | 1023053535 |
---|---|
Provider Name | Keith Girton |
First Address | Cincinnati, OH 45202-6031 |
Second Address | Cincinnati, OH 45202-6031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 28/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4454419 | (05) | FL |
AS1839572 | HIGHMARK BCBS (01) | FL |
B41990 | (02) | PA |
B41990 | MEDICARE UPIN (01) | FL |