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DAYTON CHILDRENS CARDIOLOGY INC NPI 1821098617


NPI Information

NPI: 1821098617
Provider Name: DAYTON CHILDRENS CARDIOLOGY INC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 36D2285851

Address:
1 CHILDRENS PLZ
DAYTON, OH
ZIP 45404
Phone: (937) 641-3418
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DAYTON CHILDRENS CARDIOLOGY INC is a pediatric cardiology pediatrics in Dayton, OH. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DAYTON CHILDRENS CARDIOLOGY INC NPI is 1821098617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 CHILDRENS PLZ
DAYTON, OH
ZIP 45404-898
Phone: (937) 641-3418
Fax: (937) 641-5413

The provider's authorized official is Joseph Eugene Ross .
The authorized official title is President and has the following contact phone number (937) 641-3418.

The CLIA number assigned to this NPI record is 36D2285851 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 2/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric Cardiology35053707OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19297031MEDICARE PINOHIO
20546350MEDICAIDOHIO

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

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