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Contact Information

LOUIS THIBODEAUX, MD
11155 KENWOOD RD
CINCINNATI, OH45242-1817
 Phone: 513-385-1919
 Fax: 513-385-6208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for LOUIS THIBODEAUX · (Male)

NPI Number 1922080308
Status Active
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 09/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35063926
  • OH Medicaid 0943242
  • OH Medicaid 100328970A
  • OH Medicaid 310837421027
  • OH Medicaid 64958879
  • OH Other 0972646 AETNA
  • OH Other 000000007820 ANTHEM
  • OH Other 9246433001 CIGNA
  • OH Other 310837421SA EMERALD HEALTH
  • OH Other 14096 NATIONWIDE
  • OH Other 1701181 UNITED HEALTHCARE
  • OH Other 310837421 WAUSAU
Hospital affiliation(s)
  • ADAMS COUNTY REGIONAL MEDICAL CENTER - (Critical Access)
    230 MEDICAL CENTER DRIVE
    SEAMAN, OH 45679
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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