Provider Demographics
NPI:1548263866
Name:JABIN, MARY KATHRYN (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHRYN
Last Name:JABIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 MERCY HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-6147
Mailing Address - Country:US
Mailing Address - Phone:513-639-0357
Mailing Address - Fax:513-952-5428
Practice Address - Street 1:8000 5 MILE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2163
Practice Address - Country:US
Practice Address - Phone:513-559-7175
Practice Address - Fax:513-559-7194
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.064152207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0162649Medicaid
OH160046327OtherMEDCIARE RAILROAD
OH2135551OtherAETNA
OH000000038637OtherANTHEM
OH311575051052OtherCARESOURCE
OH0701225OtherUNITED HEALTHCARE
OH288003OtherAMERIGROUP
OHJA0783396Medicare PIN
OHJA0783393Medicare PIN
OH311575051052OtherCARESOURCE
OH2135551OtherAETNA