CAROL A AMFAHR C.N.P. NPI 1245305051

NPI Information

NPI: 1245305051
Provider Name: CAROL A AMFAHR, C.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: OSF MULTI-SPECIALTY GROUP

PECOS Registration: Yes

Address:
3700 SOUTHERN BLVD STE 401
KETTERING, OH
ZIP 45429
Phone: (855) 500-2873
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Carol A Amfahr, C.N.P. is an adult health nurse practitioner in Kettering, OH with 20 years of experience. Carol A Amfahr, C.N.P. NPI is 1245305051. 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:

3700 SOUTHERN BLVD STE 401
KETTERING, OH
ZIP 45429-226
Phone: (855) 500-2873
Fax: (937) 281-3913

The NPI 1245305051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 10/2/2018.

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	363LA2200X	Nurse Practitioner	Adult Health	COA 08082 NP	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.08082	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	0000000363681	OTHER	OHIO	ANTHEM
2	2543493	MEDICAID	OHIO
3	$$$$$$$$$001	OTHER	OHIO	MEDICAL MUTUAL

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: 11/14/2023

NPI Synchronization or Removal

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