Beavercreek Family Care Associates LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEAVERCREEK FAMILY CARE ASSOCIATES LTD

Practice address

2510 Commons Blvd
Suite #275
Beavercreek, OH 45431-3820

Phone

(937) 431-3700

Fax

(937) 431-3705

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Donna L Whitmer

Title

Practice Manager

Phone

(937) 431-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel L Whitmer, M.D.

  • Family Medicine Physician
  • Beavercreek, OH
  • NPI 1649377391
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1093709826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE #275",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-431-3700",
            "fax_number": "937-431-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE #275",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-431-3700",
            "fax_number": "937-431-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERCREEK FAMILY CARE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "WHITMER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-431-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Beavercreek Family Dental Gregory J Austria DDS LLC (Brilliant Smiles)
• Beavercreek Family Health Center LLC
• Beavercreek Foot & Ankle Specialists, LLC
• Beavercreek Medical Center (Kettering Health Pharmacy Soin)
• Beavercreek Medical Center (Soin Medical Center)

• Family Medicine Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.