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Alliance Physicians Inc

Organization Active NPI Obstetrics & Gynecology Physician · Centerville, OH

NPI 1770831729 · NPPES record last updated Oct 4, 2019

Key facts

NPI
1770831729
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
ALLIANCE PHYSICIANS INC
Practice address
6438 Wilmington Pike
Suite 300
Centerville, OH 45459-7022
Phone
(937) 848-4850
Fax
(937) 848-4858
NPI assigned
Aug 23, 2012
Organization subpart
Yes
Parent organization (as reported)
ALLIANCE PHYSICIANS INC

Authorized official

Name
Timothy Y Ko
Title
Cfo
Phone
(937) 558-3223

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 11

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031118000529 OH Part B Supplier - Clinic/Group Practice 0840104360 Receives reassigned benefits from 528 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Centerville Family Prac (77 organizations share this tax ID)
Part of
Centerville Family Prac

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

6438 Wilmington Pike
Suite 300
Centerville, OH 45459-7022

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838

Other identifiers

IdentifierTypeStateIssuer
0077074MedicaidOH

Other names

  • Oak Creek OB/GYN Doing business as

Other providers in Centerville, OH

All providers in Centerville, OH · Obstetrics & Gynecology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.