Springboro Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPRINGBORO FAMILY MEDICINE INC

Practice address

5 Sycamore Creek Drive
Springboro, OH 45066

Phone

(937) 748-4211

Fax

(937) 748-3566

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Beth Grau, MDNPI 1033184833

Title

Physician

Phone

(937) 748-4211

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Beth Grau, MD

  • Family Medicine Physician
  • Troy, OH
  • NPI 1033184833
  NPD (past) Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1740453984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SYCAMORE CREEK DRIVE",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "45066",
            "telephone_number": "937-748-4211",
            "fax_number": "937-748-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SYCAMORE CREEK DRIVE",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "45066",
            "telephone_number": "937-748-4211",
            "fax_number": "937-748-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBORO FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-748-4211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008059M",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2519162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Smith, MD
• Robert J. Smith, DO
• Erica G Snider-Thammavong, MD
• Sole Proprietorship
• Springboro Family Medicine
• Springboro Medical Arts, Inc
• Springboro Medical Arts, Inc.
• Springboro Pediatrics, Inc.
• Springboro Pediatrics, Inc.
• Springboro Transportation LLC

• Family Medicine Physician in Springboro, OH
• Providers in Springboro, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.