Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35082927 | OH |
NPI | 1134112089 |
---|---|
Provider Name | Paige Ann De Buys |
First Address | Cincinnati, OH 45219-2906 |
Second Address | Cincinnati, OH 45212-2750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 30/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2560956 | MEDICAID (01) | OH |
665202 | BUCKEYE - MEDICARE (01) | OH |
7141681 | AETNA (01) | OH |
737697 | ANTHEM (01) | OH |
744864 | BUCKEYE - MEDICAID (01) | OH |
H068840 | MEDICARE (01) | OH |
P01125371 | RAIDROAD MEDICARE (01) | OH |