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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE MEDICAL GROUP

Active Organization

PROVIDENCE MEDICAL GROUP is a Family Medicine organization located in DAYTON, Ohio. NPI 1972533149 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DAYTON, OH

Registration Details

NPI Number
1972533149
Provider Type
Organization
NPI Issued
Jul 4, 2006 (20.095358241798 yrs)
Last Updated
Oct 19, 2022

Practice Information

Address
2912 SPRINGBORO RD W
SUITE 201
DAYTON, OH, 454391674
Browse OH providers · Browse ZIP 45439
Phone
9372978999
Fax
9372974852
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Diabetes Educator Nurse
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Pediatrics
Additional Specialty
General Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.