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KAISER MEDICAL CORPORATION NPI 1407935828


NPI Information

NPI: 1407935828
Provider Name: KAISER MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2179193

Address:
562 N MAIN ST
SPRINGBORO, OH
ZIP 45066
Phone: (937) 748-8026
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KAISER MEDICAL CORPORATION is a family medicine in Springboro, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KAISER MEDICAL CORPORATION NPI is 1407935828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

562 N MAIN ST
SPRINGBORO, OH
ZIP 45066-552
Phone: (937) 748-8026
Fax: (937) 748-8030

The provider's authorized official is George M Kaiser .
The authorized official title is Owner and has the following contact phone number (937) 748-8026.

The CLIA number assigned to this NPI record is 36D2179193 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2006 and was last updated on 12/3/2007.


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
1207Q00000XFamily MedicineYes

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
19337931MEDICARE PINOHIO
22427636MEDICAIDOHIO
39337933MEDICARE PINOHIO

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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