Active NPI
Kaiser Medical Corporation
- Family Medicine Physician
- Springboro, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KAISER MEDICAL CORPORATION
- Practice address
- 562 N Main St
Springboro, OH 45066-9552 - Phone
- (937) 748-8026
- Fax
- (937) 748-8030
- NPI assigned
- Nov 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George M Kaiser, DO
- Title
- Owner
- Phone
- (937) 748-8026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
562 N Main St
Springboro, OH 45066-9552
Mailing address
562 N Main St
Springboro, OH 45066-9552
Phone (937) 748-8026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2427636 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2179193 | Kaiser Medical Corporation | Certificate of waiver | Feb 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
33 Lawrence Ave
Miamisburg, OH 45342
Phone (937) 847-8165
500 S Breiel Blvd
Ste 3
Middletown, OH 45044
Phone (513) 424-1619
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dayton, OH
- NPI 1871523209
-
- Family Medicine Physician
- Lebanon, OH
- NPI 1699854018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1407935828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 N MAIN ST",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669552",
"telephone_number": "937-748-8026",
"fax_number": "937-748-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 N MAIN ST",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669552",
"telephone_number": "937-748-8026",
"fax_number": "937-748-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-05",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "KAISER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-748-8026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2427636",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.