Basic Information
Provider Information
NPI: 1013351527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WHITFORD
FirstName: BRITTNEY
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 BURNET AVE
Address2: ML 2001
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136364408
FaxNumber: 5136367337
Practice Location
Address1: 3333 BURNET AVE OFC E3.301
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136365479
FaxNumber: 5136362920
Other Information
ProviderEnumerationDate: 04/26/2013
LastUpdateDate: 04/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X35.136586OHN Allopathic & Osteopathic PhysiciansPediatrics 
207LH0002X35.136586OHY Allopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative Medicine

No ID Information.


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