Victor David Angel, D.O.
Individual provider Active NPI Family Medicine Physician · Milford, OH
NPI 1679624803 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1679624803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34002354 (OH)
- Practice address
- 300 Chamber Dr
Milford, OH 45150-1734 - Phone
- (513) 475-8050
- Fax
- (513) 248-1809
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
-
Harold Thomas Pretorius, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090909000023 | OH | Practitioner - Internal Medicine |
1557416922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002354 | OH | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34002354 | OH | Yes |
Addresses
Primary practice location
300 Chamber Dr
Milford, OH 45150-1734
Mailing address
300 Chamber Dr
Milford, OH 45150-1734
Phone (513) 475-8050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0404717 | Medicaid | OH |
Other providers in Milford, OH
- Anna Altenburger
- American Health Chiropractic Inc
- Monica Amunga
- Marlena Amyx
- Anchor and Light Behavioral Health LLC
- Angeline Physical Therapy LLC
- Jeffrey Alan Angeline
- Stephanie Erin Anspach
- Scott Armistead
- Amber Dawn Armstrong
All providers in Milford, OH · Family Medicine 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 Apr 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.