Individual provider · Type 1 NPI
John P. Detherage Iii, MD
Sports Medicine (Emergency Medicine) Physician · Cincinnati, OH
Practice location
7910 Beechmont Ave
Cincinnati, OH 45255-4210
Fax (513) 605-1622
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Other practice locations
- 10506 Montgomery Rd Ste 209, Montgomery, OH 45242-4400 · (513) 865-9040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 01098271A (IN) |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 59124 (KY) |
| Emergency Medicine Physician | 207P00000X | 35150486 (OH) |
| Emergency Medicine Physician | 207P00000X | 59124 (KY) |
| Emergency Medicine Physician | 207P00000X | 01098271A (IN) |
| Sports Medicine (Emergency Medicine) Physician Primary | 207PS0010X | 35150486 (OH) |
Sports Medicine (Emergency Medicine) Physician: An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise p…
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About NPI 1447833504
John P. Detherage Iii, MD's National Provider Identifier is 1447833504, issued on May 5, 2021. The primary taxonomy on file is Sports Medicine (Emergency Medicine) Physician (207PS0010X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 14, 2026.