Basic Information
| Provider Information | |||||||||
| NPI: | 1194724369 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARCHESCHI | ||||||||
| FirstName: | EDWARD | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8737 UNION CENTRE BLVD | ||||||||
| Address2: | MERCY HEALTH WELLINGTON ORTHOPAEDICS WEST CHESTER | ||||||||
| City: | WEST CHESTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450694878 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136452200 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3950 RED BANK RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452273429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5133332580 | ||||||||
| FaxNumber: | 5133332584 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2005 | ||||||||
| LastUpdateDate: | 10/21/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35-080595 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RS0010X | 35-080595 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine | 208M00000X | 35-080595 | OH | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 742097 | 01 | OH | BUCKEYE MEDICAID | OTHER | 773053 | 01 | OH | ANTHEM | OTHER | 2296055 | 01 | OH | MEDICAID | OTHER | 273088817060 | 01 | OH | CARESOURCE | OTHER | 447596 | 01 | OH | WELLCARE | OTHER | 64045867 | 05 | KY | MEDICAID | 7283343 | 01 | OH | AETNA | OTHER | 051015 | 01 | OH | BUCKEYE MEDICARD | OTHER | H105760 | 01 | OH | MEDICARE | OTHER | P01241847 | 01 | OH | RAILROAD MEDICARE | OTHER |