1972533149 PROVIDENCE MEDICAL GROUP
Family Medicine Physician
Active
Basic Information
- Organization Name
- PROVIDENCE MEDICAL GROUP
- Enumeration Date
- July 4, 2006
- Last Update
- October 19, 2022
- Authorized Official
- MRS. SUSAN J BECKER COO
CHIEF OPERATING OFFICER
Phone: (937) 297-8999
Practice Location
- Address
- 2912 SPRINGBORO RD W
SUITE 201
DAYTON, OH 454391674 - Phone
- (937) 297-8999
- Fax
- (937) 297-4852
Mailing Address
- Address
- 2912 SPRINGBORO RD W
SUITE 201
DAYTON, OH 454391674 - Phone
- (937) 297-8999
- Fax
- (937) 297-4852
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Dietitian, Registered | N/A | OH | No |
| Diabetes Educator Registered Nurse Diabetes Educator | 163WD0400X | Registered Nurse | N/A | OH | No |
| Obstetrics & Gynecology Physician | 207V00000X | Obstetrics & Gynecology | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| Surgery Physician | 208600000X | Surgery | N/A | N/A | No |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Urogynecology and Reconstructive Pelvic Surgery | 2088F0040X | Urology | N/A | N/A | No |
| Colon & Rectal Surgery Physician | 208C00000X | Colon & Rectal Surgery | N/A | N/A | No |
| General Practice Physician | 208D00000X | General Practice | N/A | N/A | No |
| Clinical Medical Laboratory | 291U00000X | Clinical Medical Laboratory | N/A | N/A | No |
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | 1313008 | OH | No |
| Acute Care Nurse Practitioner Acute Care | 363LA2100X | Nurse Practitioner | N/A | N/A | No |
| Adult Health Nurse Practitioner Adult Health | 363LA2200X | Nurse Practitioner | N/A | N/A | No |
| Pediatric Nurse Practitioner Pediatrics | 363LP0200X | Nurse Practitioner | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2380294 | 05 | OH | N/A |
Frequently Asked Questions
What is PROVIDENCE MEDICAL GROUP's NPI number?
PROVIDENCE MEDICAL GROUP's NPI number is 1972533149.
Which doctor has NPI number 1972533149?
The doctor with NPI number 1972533149 is PROVIDENCE MEDICAL GROUP.
What is PROVIDENCE MEDICAL GROUP's practice address?
PROVIDENCE MEDICAL GROUP's practice address is 2912 SPRINGBORO RD W, SUITE 201, DAYTON, OH, 454391674.
Which doctor practices at 2912 SPRINGBORO RD W, SUITE 201, DAYTON, OH, 454391674?
PROVIDENCE MEDICAL GROUP practices at 2912 SPRINGBORO RD W, SUITE 201, DAYTON, OH, 454391674.
What is PROVIDENCE MEDICAL GROUP's phone number?
PROVIDENCE MEDICAL GROUP's phone number is (937) 297-8999.
Who is (937) 297-8999?
(937) 297-8999 is the phone number for PROVIDENCE MEDICAL GROUP.
What is PROVIDENCE MEDICAL GROUP's specialty?
PROVIDENCE MEDICAL GROUP's specialty is Family Medicine Physician.
What type of doctor is PROVIDENCE MEDICAL GROUP?
PROVIDENCE MEDICAL GROUP is a Family Medicine Physician.
Is PROVIDENCE MEDICAL GROUP a Family Medicine?
Yes, PROVIDENCE MEDICAL GROUP is a Family Medicine.
Is PROVIDENCE MEDICAL GROUP still practicing?
Yes, PROVIDENCE MEDICAL GROUP is currently practicing.
Is PROVIDENCE MEDICAL GROUP accepting new patients?
PROVIDENCE MEDICAL GROUP may be accepting new patients. Please call their office at (937) 297-8999 to inquire about availability.
Is NPI 1972533149 still active?
Yes, NPI 1972533149 is currently active.
Where does PROVIDENCE MEDICAL GROUP practice?
PROVIDENCE MEDICAL GROUP practices in DAYTON, OH.