Provider Demographics
NPI:1770602666
Name:CINCINNATI GYNECOLOGY SPECIALISTS, INC
Entity type:Organization
Organization Name:CINCINNATI GYNECOLOGY SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-231-5237
Mailing Address - Street 1:7300 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4119
Mailing Address - Country:US
Mailing Address - Phone:513-231-5237
Mailing Address - Fax:513-231-3195
Practice Address - Street 1:7300 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4119
Practice Address - Country:US
Practice Address - Phone:513-231-5237
Practice Address - Fax:513-231-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058911207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2430024Medicaid
OH9347691Medicare ID - Type UnspecifiedGROUP NUMBER