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MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC NPI 1790308104


NPI Information

NPI: 1790308104
Provider Name: MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 36D2193787

Address:
100 MEDICAL CENTER DR
SPRINGFIELD, OH
ZIP 45504
Phone: (888) 696-3541
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MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC is a surgery in Springfield, OH. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC NPI is 1790308104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MEDICAL CENTER DR
SPRINGFIELD, OH
ZIP 45504-687
Phone: (888) 696-3541

The provider's authorized official is Kimberly Ralston .
The authorized official title is System Director and has the following contact phone number (419) 996-5119.

The CLIA number assigned to this NPI record is 36D2193787 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 9/22/2021.


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
1207XX0005XOrthopaedic SurgerySports MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208800000XUrologyNo
4208M00000XHospitalistNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7207K00000XAllergy & ImmunologyNo
8207N00000XDermatologyNo
9207RC0000XInternal MedicineCardiovascular DiseaseNo
10207RC0200XInternal MedicineCritical Care MedicineNo
11207RP1001XInternal MedicinePulmonary DiseaseNo
12207VG0400XObstetrics & GynecologyGynecologyNo
13207X00000XOrthopaedic SurgeryNo
14208600000XSurgeryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.