DR. JOHN DOMINIC CREDICO M.D. NPI 1023002938

NPI Information

NPI: 1023002938
Provider Name: DR. JOHN DOMINIC CREDICO, M.D.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

Address:
2751 BAY PARK DR
SUITE 304
OREGON, OH
ZIP 43616
Phone: (419) 690-7611
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DR. John Dominic Credico, M.D. is an obstetrics obstetrics gynecology in Oregon, OH. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. John Dominic Credico, M.D. NPI is 1023002938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2751 BAY PARK DR
SUITE 304
OREGON, OH
ZIP 43616-921
Phone: (419) 690-7611
Fax: (419) 691-1511

The enumeration date for this NPI number is 9/7/2005 and was last updated on 3/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	35053584	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	SP03121	MEDICARE PIN
2	A72869	MEDICARE UPIN
3	0601405	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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