OBSTETRICS & GYNECOLOGY SOUTH, INC (NPI# 1396097549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396097549 |
| Entity Type | Organization |
| Organization Name | OBSTETRICS & GYNECOLOGY SOUTH, INC |
| Practice Address |
2510 Commons Blvd Ste 200a Beavercreek OH 45431-3829 |
| Mailing Address |
3533 Southern Blvd Ste 4600 Kettering OH 45429-1264 |
| Practice Telephone | 9375583088 |
| Mailing Telephone | 9372960167 |
| Mailing Fax Number | 9372972330 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | ART ALTMAN (PRESIDENT) |
| Authorized Official Telephone | 9372960167 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | OBSTETRICS & GYNECOLOGY SOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 35.043084 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2109935 | 05 | |
| OH | 2792198 | 05 | |
| OH | 0589144 | 05 | |
| OH | 2864888 | 05 | |
| OH | 0723417 | 05 | |
| OH | 2008679 | 05 |
| Street Address |
2510 COMMONS BLVD STE 200A |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033575931 | Jill Cox | Legal Medicine | 130 Oakley Ave, Boardman, OH 44512-3419 | 2016-01-07 |
| 1447530704 | James P. D'apolito Md Pediatrics, Inc. | Legal Medicine | 4316 Belmont Ave, Youngstown, OH 44505-1006 | 2011-08-18 |
| 1013158591 | Crosswoods Pediatrics | Legal Medicine | 760 Lakeview Plaza Blvd, Suite 500, Worthington, OH 43085-4734 | 2009-03-13 |
| 1366632960 | James B. Nagle, M.d., Inc. | Legal Medicine | 207 E Stroop Rd, Kettering, OH 45429-2825 | 2007-07-30 |
| 1700928843 | Khalid Darr | Legal Medicine | 5510 Pearl Rd Ste 205, Parma, OH 44129-2550 | 2007-02-13 |
| 1235297466 | Jack Gordon Jones | Legal Medicine | 1660 Akron Peninsula Rd, Suite 101, Akron, OH 44313-5189 | 2006-12-04 |
| 1568478626 | Mark John Piacentini | Legal Medicine | 102 E Water St, Prospect, OH 43342 | 2006-07-31 |
| 1427075159 | Michael J. Rozen | Legal Medicine | 10901 Reed Hartman Hwy, Cincinnati, OH 45242-2831 | 2006-07-17 |
| 1396788212 | Harley A Grim | Legal Medicine | 237 William Howard Taft Rd Fl 2, Cincinnati, OH 45219-2610 | 2006-06-14 |
| 1124086574 | Praveen Kumar Malhotra | Legal Medicine | 525 N Eastown Rd, Lima, OH 45807-2268 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.