Basic Information
| Provider Information | |||||||||
| NPI: | 1700986007 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LOHR SURGICAL SPECIALISTS LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6350 GLENWAY AVE STE 208 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452116375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134517400 | ||||||||
| FaxNumber: | 5134517888 | ||||||||
| Practice Location | |||||||||
| Address1: | 6350 GLENWAY AVE STE 208 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452116375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134517400 | ||||||||
| FaxNumber: | 5134517888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 03/23/2018 | ||||||||
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| AuthorizedOfficialLastName: | LOHR | ||||||||
| AuthorizedOfficialFirstName: | JOANN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5134517400 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0129X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
ID Information
| ID | Type | State | Issuer | Description | 200894750A | 05 | IN | MEDICAID | 200894750B | 05 | IN | MEDICAID | 200894750C | 05 | IN | MEDICAID | 65909632 | 05 | KY | MEDICAID | DP0778 | 01 | RR MEDICARE | OTHER | 2952943 | 05 | OH | MEDICAID | 200894750E | 05 | IN | MEDICAID | 200894750D | 05 | IN | MEDICAID |