Provider Demographics
NPI:1679515944
Name:MCPHERSON, CHRISTOPHER M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 643398
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-3398
Mailing Address - Country:US
Mailing Address - Phone:513-221-1100
Mailing Address - Fax:513-569-5297
Practice Address - Street 1:6130 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247
Practice Address - Country:US
Practice Address - Phone:513-221-1100
Practice Address - Fax:513-451-4514
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2018-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.082547207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2558503Medicaid
OH2558503Medicaid
OH2558503Medicaid