Waterstreet Family Practice, Inc. in Xenia - Sports Medicine
Waterstreet Family Practice, Inc. - NPI 1831300862
Waterstreet Family Practice, Inc. is a Sports Medicine in Xenia, Ohio. Waterstreet Family Practice, Inc. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Waterstreet Family Practice, Inc. is 1831300862. The last update date is 2020-08-22.
Waterstreet Family Practice, Inc.'s current location address is 1162 N Monroe Dr, Xenia, Ohio. You can contact this provider via phone number 9373746450 and fax number 9373746455. The mailing address for Waterstreet Family Practice, Inc. is 1162 N Monroe Dr, Xenia, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waterstreet Family Practice, Inc. |
|---|---|
| Address | 1162 N Monroe Dr, Xenia, Ohio |
| Phone Number | 9373746450 |
| Fax Number | 9373746455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Hogan Sue Penny |
| Credentials | MD |
| Telephone Number | 9373746450 |
NPI Number Detail
| NPI Number | 1831300862 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1162 N Monroe Dr |
|---|---|
| City | Xenia |
| State | Ohio (OH) |
| Post Code | 453851620 |
| Phone Number | 9373746450 |
| Fax Number | 9373746455 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 35071125H |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2150032 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Waterstreet Family Practice, Inc. by the Centers for Medicare & Medicaid Services?
The Waterstreet Family Practice, Inc. has been assigned the NPI (National Provider Identifier) 1831300862. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Waterstreet Family Practice, Inc.'s facilities are situated?
The facilities of Waterstreet Family Practice, Inc. are physically located at the following address: 1162 N Monroe Dr, Xenia, OH, 453851620.
What is Waterstreet Family Practice, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Waterstreet Family Practice, Inc.'s specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
When did the Waterstreet Family Practice, Inc. receive its 1831300862?
The Waterstreet Family Practice, Inc. was issued its 1831300862 on 2007-05-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Waterstreet Family Practice, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Waterstreet Family Practice, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.