South Dayton Surgeons Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTH DAYTON SURGEONS INC

Practice address

3533 Southern Blvd
Suite 2250
Kettering, OH 45429-1270

Phone

(937) 534-0330

Fax

(937) 534-0340

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lora Wilson

Title

Practice Manager

Phone

(937) 534-0330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1619080256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD.",
            "address_2": "SUITE 2250",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291264",
            "telephone_number": "937-534-0330",
            "fax_number": "937-534-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD",
            "address_2": "SUITE 2250",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291270",
            "telephone_number": "937-534-0330",
            "fax_number": "937-534-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAYTON SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-534-0330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debra K Sowald, PSYD

• Surgery Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.