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OBSTETRICS & GYNECOLOGY SOUTH INC NPI 1396097549


NPI Information

NPI: 1396097549
Provider Name: OBSTETRICS & GYNECOLOGY SOUTH, INC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 36D0870337

Address:
2510 COMMONS BLVD STE 200A
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 558-3088
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OBSTETRICS & GYNECOLOGY SOUTH, INC is a legal medicine in Beavercreek, OH. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. OBSTETRICS & GYNECOLOGY SOUTH, INC NPI is 1396097549. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2510 COMMONS BLVD STE 200A
BEAVERCREEK, OH
ZIP 45431-829
Phone: (937) 558-3088

The provider's authorized official is Art Altman .
The authorized official title is President and has the following contact phone number (937) 296-0167.

The CLIA number assigned to this NPI record is 36D0870337 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 9/26/2019.


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
1173000000XLegal Medicine35.043084OHIOYes

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
12109935MEDICAIDOHIO
22792198MEDICAIDOHIO
30589144MEDICAIDOHIO
42864888MEDICAIDOHIO
50723417MEDICAIDOHIO
62008679MEDICAIDOHIO

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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