MS. MARY F SROGA CRNP NPI 1174550016

NPI Information

NPI: 1174550016
Provider Name: MS. MARY F SROGA, CRNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
77 E WOODBURY DR
SUITE 110
DAYTON, OH
ZIP 45415
Phone: (937) 277-1722
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MS. Mary F Sroga, CRNP is a primary care nurse practitioner in Dayton, OH. MS. Mary F Sroga, CRNP NPI is 1174550016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

77 E WOODBURY DR
SUITE 110
DAYTON, OH
ZIP 45415-855
Phone: (937) 277-1722
Fax: (937) 277-8618

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/16/2014.

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	363LP2300X	Nurse Practitioner	Primary Care	COA.03552-NP	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	Other Provider Identifier Issuer
1	S74460	MEDICARE UPIN	OHIO
2	2059203	MEDICAID	OHIO
3	000000558163	OTHER	OHIO	BCBS-OH
4	SRNP10363	MEDICARE PIN	OHIO
5	421534506111	OTHER	OHIO	CARESOURCE
6	$$$$$$$$$001	OTHER	OHIO	MMOH
7	421534506117	OTHER	OHIO	CARESOURCE

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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