CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC. NPI 1881794113

NPI Information

  • NPI: 1881794113
  • Provider Name: CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 1483 WEST MAIN STREET
    TIPP CITY, OH
    ZIP 45371
  • Phone: (937) 667-7711

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NPI Details

CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC. is an adolescent medicine pediatrics in Tipp City, OH. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC. NPI is 1881794113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1483 WEST MAIN STREET
TIPP CITY, OH
ZIP 45371
Phone: (937) 667-7711
Fax: (937) 667-8067

The provider's authorized official is Mary Ann Galemmo .
The authorized official title is Nursing Office Manager and has the following contact phone number (937) 667-7711.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

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
12080A0000XPediatricsAdolescent 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10382910MEDICAIDOHIO

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: 3/30/2025

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