Springboro Medical Arts, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SPRINGBORO MEDICAL ARTS, INC.

Doing business as

Springboro Medical Wellness Center

Practice address

84 Remick Blvd
Springboro, OH 45066-9168

Phone

(937) 619-0444

Fax

(937) 619-0445

NPI assigned

May 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Desiderio Nmi Pina, M.D.

Title

Medical Director

Phone

(937) 619-0444

Specialties & licenses 7

Addresses

Other names 1

• Springboro Medical Wellness Center Doing business as

Tax ID family

Springboro Medical Arts Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Springboro Medical Arts, Inc

  • Clinic/Center
  • Springboro, OH
  • NPI 1710213483
  NPD tax ID

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1205093390",
    "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": "937-619-0444",
            "fax_number": "937-619-0445"
        },
        {
            "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": "937-619-0444",
            "fax_number": "937-619-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBORO MEDICAL ARTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "DESIDERIO",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-619-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springboro Medical Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica G Snider-Thammavong, MD
• Sole Proprietorship
• Springboro Family Medicine
• Springboro Family Medicine Inc
• Springboro Medical Arts, Inc
• Springboro Pediatrics, Inc.
• Springboro Pediatrics, Inc.
• Springboro Transportation LLC
• Springboro Vision, LLC
• John Henry Stachler Jr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.