Desiderio Pina, MD, MPH, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35083573 Issued in OH

Legal business name

DESIDERIO PINA, MD, MPH, INC

Practice address

84 Remick Blvd
Springboro, OH 45066-9168

Phone

(937) 748-2035

Fax

(937) 748-2035

NPI assigned

Mar 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

DESIDERIO PINA, MD, MPH, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Desiderio Pina, M.D.

Title

Owner

Phone

(937) 748-2035

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Desiderio Pina MD MPH Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1023289857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-748-2035",
            "fax_number": "937-748-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-748-2035",
            "fax_number": "937-748-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIDERIO PINA, MD, MPH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESIDERIO PINA, MD, MPH, INC",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "DESIDERIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-748-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35083573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Springboro, OH
• Providers in Springboro, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.