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SPRINGBORO FAMILY MEDICINE INC NPI 1740453984


NPI Information

NPI: 1740453984
Provider Name: SPRINGBORO FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5 SYCAMORE CREEK DRIVE
SPRINGBORO, OH
ZIP 45066
Phone: (937) 748-4211
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SPRINGBORO FAMILY MEDICINE INC 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. SPRINGBORO FAMILY MEDICINE INC NPI is 1740453984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 SYCAMORE CREEK DRIVE
SPRINGBORO, OH
ZIP 45066
Phone: (937) 748-4211
Fax: (937) 748-3566

The provider's authorized official is Susan Beth Grau .
The authorized official title is Physician and has the following contact phone number (937) 748-4211.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.


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
1207Q00000XFamily Medicine34008059MOHIONo
2207Q00000XFamily MedicineOHIOYes

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
1SP9346711MEDICARE PINOHIO
22519162MEDICAIDOHIO

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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