Springboro Medical Arts, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

35083573 Issued in OH

Legal business name

SPRINGBORO MEDICAL ARTS, INC

Doing business as

Springboro Medical Wellness & Neuropsychatric Center

Practice address

84 Remick Blvd
Springboro, OH 45066-9168

Phone

(937) 619-0444

Fax

(937) 619-0445

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Desiderio Pina, M.D.

Title

Medical Director

Phone

(937) 619-0444

Specialties & licenses 1

Addresses

Other names 1

• Springboro Medical Wellness & Neuropsychatric 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.

  • Psychiatry Physician
  • Springboro, OH
  • NPI 1205093390
  NPD tax ID

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1710213483",
    "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": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "DESIDERIO",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "35083573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springboro Medical Wellness & Neuropsychatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert J. Smith, DO
• 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

• Clinic/Center in Springboro, OH
• Providers in Springboro, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.