Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 2007-01371 | NC |
Y | 2086S0120X | Pediatric Surgery | 35069041 | OH |
N | 2086S0120X | Pediatric Surgery | L5362 | TX |
NPI | 1477633733 |
---|---|
Provider Name | Michael Anthony Helmrath |
First Address | Cincinnati, OH 45229-3039 |
Second Address | Cincinnati, OH 45229-3039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 28/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
151204805 | (05) | TX |
H61598 | (02) |