Organization · Type 2 NPI

Providence Medical Group Inc

Obstetrics & Gynecology Physician · Centerville, OH

NPI number 1821373945 Active

Practice location

7756 Washington Village Dr, Suite 125
Centerville, OH 45459-3999

Call (937) 297-8999 Map

Mailing address

2912 Springboro Rd, Suite 201
Moraine, OH 45439-1674

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	005030 (OH)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5 other providers at this address

Other obstetrics & gynecology physician providers in Centerville

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NPI record

NPI: 1821373945
Entity type: Organization (Type 2)
Issued: Oct 20, 2011
Last updated: Oct 20, 2011
Status: Active
Subpart: Yes of Providence Medical Group

Other names

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Providence Surgery Center@ Cornerstone · doing business as

Authorized official

Mrs. Susan J Becker, COO
Chief Operations Officer
(937) 297-8999

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821373945

Providence Medical Group Inc's National Provider Identifier is 1821373945, issued on Oct 20, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Centerville, OH. The record was last updated on Oct 20, 2011.