Individual provider · NPI-1

Amanda Morgan Baucom

Obstetrics & Gynecology, Maternal & Fetal Medicine · Cincinnati, OH

NPI number1629530233
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1629530233
Entity type
Individual (NPI-1)
Name
Amanda Morgan Baucom
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 2, 2019
Certification date
Sep 29, 2026
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine35.150567OHYes
207V00000X Obstetrics & Gynecology35.150567OH

Practice location

3188 Bellevue Ave
Cincinnati, OH 45219-2369

Phone 513-584-5239 · Fax 513-584-2579

Mailing address

3200 Burnet Ave
Cincinnati, OH 45229-3019

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