KOLODZIK PHYSICIAN SERVICES, LLC (NPI# 1902264351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902264351 |
| Entity Type | Organization |
| Organization Name | KOLODZIK PHYSICIAN SERVICES, LLC |
| Practice Address |
1108 Paxon Ct Bellbrook OH 45305-8959 |
| Practice Telephone | 9378256220 |
| Mailing Telephone | 9378256220 |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2016-01-31 |
| Authorized Official Name | DR. PAUL W. KOLODZIK (OWNER) |
| Authorized Official Telephone | 9378256220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 35052684 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1108 PAXON CT |
| City | BELLBROOK |
| State | OH |
| Zip Code | 45305-8959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715727 | Cynthia Gebhart | Nurse Practitioner | 2450 Ferry Road, Bellbrook, OH 45305 | 2019-01-31 |
| 1952690810 | Neal Mehan | Neurological Surgery | 480 Sugarbrook Trl, Bellbrook, OH 45305 | 2011-03-31 |
| 1285792358 | John P Harmeyer | Dentist | 4291 Sugarcreek Dr, Bellbrook, OH 45305 | 2006-12-04 |
| 1548337850 | Douglas A Songer | Psychiatry & Neurology | 4301 St Rt 725, Ste B, Bellbrook, OH 45305 | 2006-11-29 |
| 1639250145 | David Scott Nicholson | Obstetrics & Gynecology | 4403 State Route 725 Ste A1, Bellbrook, OH 45305 | 2006-10-18 |
| 1568491306 | Richard Alan Welfare | Dentist | 4120 West Franklin St, Bellbrook, OH 45305 | 2006-07-02 |
| 1821398777 | Eric Bletzinger | Registered Nurse | 1930 N Lakeman Dr, Bellbrook, OH 45305 | 2010-10-26 |
| 1699317610 | Jessica Lynn Duke | Nurse Practitioner | 1930 N Lakeman Dr Ste 109, Bellbrook, OH 45305-1200 | 2019-10-10 |
| 1003815762 | 1957 N. Lakeman Avenue Operating Company, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1212 | 2005-07-15 |
| 1366511503 | William Charles Dahling | Dentist | 1964 N Lakeman Dr, Bellbrook, OH 45305-1229 | 2006-11-06 |
| Find all providers in zip 45305 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.