Alliance Physician Inc
Organization Active NPI Surgery Physician · Centerville, OH
NPI 1487936795 · NPPES record last updated Nov 12, 2012
Key facts
- NPI
- 1487936795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ALLIANCE PHYSICIAN INC
- Practice address
- 2717 Miamisburg Centerville Rd
Suite 201
Centerville, OH 45459-3797 - Phone
- (937) 434-3180
- Fax
- (937) 434-9807
- NPI assigned
- Sep 13, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIANCE PHYSICIAN INC
Authorized official
- Name
- Daniel D Haibach
- Title
- Director Business Development
- Phone
- (937) 558-3222
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Centerville Family Prac
- Part of
- Centerville Family Prac
Locations
2717 Miamisburg Centerville Rd
Ste 201
Centerville, OH 45459
Phone (937) 434-3180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
2717 Miamisburg Centerville Rd
Suite 201
Centerville, OH 45459-3797
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2712872 | Medicaid | OH |
Other names
- Sycamore Surgical Associates
Other providers in Centerville, OH
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- Farah Alkhafaf
- Laith Alkukhun
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- Danny Terry Allen
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- Alliance Physician Inc
- Alliance Physicians Inc
All providers in Centerville, OH · Surgery Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.