NPIMap

Alliance Physicians, Inc.

Organization Active NPI Family Medicine Physician · Xenia, OH

NPI 1144577115 · NPPES record last updated Sep 3, 2013

Key facts

NPI
1144577115
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ALLIANCE PHYSICIANS, INC.
Practice address
50 N Progress Dr
Xenia, OH 45385-2666
Phone
(937) 374-4041
Fax
(937) 374-4020
NPI assigned
Aug 9, 2012
Organization subpart
Yes
Parent organization (as reported)
ALLIANCE PHYSICIANS, INC.

Authorized official

Name
Timothy Y Ko
Title
Cfo
Phone
(937) 588-3208

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 19

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031118000529 OH Part B Supplier - Clinic/Group Practice 0840104360 Receives reassigned benefits from 528 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Centerville Family Prac (77 organizations share this tax ID)
Part of
Centerville Family Prac

Locations

825 N Main St
Ste 210
Springboro, OH 45066
Phone (937) 762-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/237/brand/1/csg/41/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

50 N Progress Dr
Xenia, OH 45385-2666

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838

Other identifiers

IdentifierTypeStateIssuer
0070003MedicaidOH

Other names

  • Xenia Family Practice Doing business as

Other providers in Xenia, OH

All providers in Xenia, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.