Merrill J Shidler in Beavercreek - Family Medicine
Merrill J Shidler - NPI 1528129301
Merrill J Shidler is a Family Medicine in Beavercreek, Ohio. Merrill J Shidler practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Merrill J Shidler is 1528129301. The last update date is 2012-11-27.
Merrill J Shidler's current location address is 2601 Mission Point Blvd, Beavercreek, Ohio. You can contact this provider via phone number 9379124441 and fax number 9374294236. The mailing address for Merrill J Shidler is 2601 Mission Point Blvd, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Merrill J Shidler |
|---|---|
| Address | 2601 Mission Point Blvd, Beavercreek, Ohio |
| Phone Number | 9379124441 |
| Fax Number | 9374294236 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528129301 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2012-11-27 |
Provider Mailing Address Detail
| Address | 2601 Mission Point Blvd |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454316600 |
| Phone Number | 9379124441 |
| Fax Number | 9374294236 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35051246 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 567515 | OH | -- |
Post Comment/ Review Below
What is the Merrill J Shidler's unique identification number?
The Merrill J Shidler has been assigned the NPI (National Provider Identifier) Number 1528129301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Merrill J Shidler's facilities are geographically located?
The facilities of Merrill J Shidler are physically situated at the following location: 2601 Mission Point Blvd, Beavercreek, OH, 454316600.
What is Merrill J Shidler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Merrill J Shidler is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528129301 to Merrill J Shidler?
The Centers for Medicare & Medicaid Services originally issued the 1528129301 to Merrill J Shidler on 2006-12-13.
When was the Merrill J Shidler's information last updated?
The Merrill J Shidler's information was last updated on 2012-11-27.
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