Providence Medical Group in Dayton - Colon & Rectal Surgery
Providence Medical Group - NPI 1972533149
Providence Medical Group is a Colon & Rectal Surgery in Dayton, Ohio. Providence Medical Group practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Providence Medical Group is 1972533149. The last update date is 2022-10-19.
Providence Medical Group's current location address is 2912 Springboro Rd W, Dayton, Ohio. You can contact this provider via phone number 9372978999 and fax number 9372974852. The mailing address for Providence Medical Group is 2912 Springboro Rd W, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Medical Group |
|---|---|
| Address | 2912 Springboro Rd W, Dayton, Ohio |
| Phone Number | 9372978999 |
| Fax Number | 9372974852 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Becker J Susan |
| Credentials | COO |
| Telephone Number | 9372978999 |
NPI Number Detail
| NPI Number | 1972533149 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2022-10-19 |
Provider Mailing Address Detail
| Address | 2912 Springboro Rd W |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454391674 |
| Phone Number | 9372978999 |
| Fax Number | 9372974852 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2380294 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Medical Group by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Medical Group has been assigned the NPI (National Provider Identifier) 1972533149. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Providence Medical Group located?
The Providence Medical Group is located at 2912 Springboro Rd W, Dayton, OH 454391674.
What is the Providence Medical Group's specialty and taxonomy code?
The Providence Medical Group's specialty is Colon & Rectal Surgery, and the corresponding taxonomy code is 208C00000X.
When did Providence Medical Group receive its 1972533149 assignment?
The Providence Medical Group was assigned its 1972533149 on 2006-07-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Providence Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Providence Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-19.