Organization · Type 2 NPI
Providence Medical Group
Family Medicine Physician · Dayton, OH
NPI number
1972533149
Active
Practice location
2912 Springboro Rd W, Suite 201
Dayton, OH 45439-1674
Fax (937) 297-4852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | None listed |
| Diabetes Educator Registered Nurse | 163WD0400X | None listed |
| Family Medicine Physician Primary | 207Q00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Surgery Physician | 208600000X | None listed |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | None listed |
| Colon & Rectal Surgery Physician | 208C00000X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Clinical Medical Laboratory | 291U00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Nurse Practitioner | 363L00000X | 1313008 (OH) |
| Acute Care Nurse Practitioner | 363LA2100X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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About NPI 1972533149
Providence Medical Group's National Provider Identifier is 1972533149, issued on Jul 4, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Dayton, OH. The record was last updated on Oct 19, 2022.