Individual ProviderJonathan SmallPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address8050 Hosbrook Rd, Suite 402, Cincinnati, OH 45236-2907(513) 794-0083PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Small does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1073686085Provider TypeIndividualFull NameSmall, JonathanTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date11/16/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address8050 Hosbrook Rd, Suite 402, Cincinnati, OH 45236-2907Phone(513) 794-0083Fax(513) 794-0083Mailing LocationMailing Address8050 Hosbrook Rd, Suite 402, Cincinnati, OH 45236-2994Phone(513) 794-0083Fax(513) 794-0083Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense35.043175Ohio