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Contact Information

PATRICK E MUCK, MD
10506 MONTGOMERY RD STE 302
CINCINNATI, OH45242-4400
 Phone: 513-865-9898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PATRICK E MUCK · (Male)

NPI # 1790762136
Status Active
Credentials MD
Entity Individual
Enumeration date 12/28/2005
Last updated 03/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35073515
  • IN Medicaid 200416560
  • KY Medicaid 64093222
  • OH Medicaid 2257687
  • OH Other 3293506 AETNA
  • OH Other 296983 AMERIGROUP
  • OH Other 000000290056 ANTHEM
  • OH Other P00038669 RAILROAD MEDICARE
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
  • HIGHLAND DISTRICT HOSPITAL - (Critical Access)
    1275 NORTH HIGH STREET
    HILLSBORO, OH 45133
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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