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John Detherage, MD
NPI 1447833504 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10506 Montgomery Rd Ste 209
Montgomery, OH 45242 - Phone
- (513) 865-9040
- Clinicians at this address
- 50
Additional practice sites
- 7910 Beechmont Ave, Cincinnati, OH
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Emergency Medicine Physician
Sports Medicine (Emergency Medicine) Physician
Sports Medicine (Emergency Medicine) Physician
Emergency Medicine Physician
Sports Medicine (Emergency Medicine) Physician - Licence states on file
- KY, IN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio