Basic Information
Provider Information
NPI: 1881669356
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VENARD
FirstName: ELIZABETH
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2060 READING ROAD
Address2: SUITE 150
City: CINCINNATI
State: OH
PostalCode: 452021488
CountryCode: US
TelephoneNumber: 5137213200
FaxNumber: 5136393186
Practice Location
Address1: 3747 WEST FORK ROAD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452477548
CountryCode: US
TelephoneNumber: 5134814777
FaxNumber: 5133890473
Other Information
ProviderEnumerationDate: 02/20/2006
LastUpdateDate: 05/10/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0000X35075534OHY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics

ID Information
IDTypeStateIssuerDescription
228570905OH MEDICAID
P0155684901OHRAIL ROAD MEDICAREOTHER


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