Miami County Surgeons, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MIAMI COUNTY SURGEONS, INC.

Practice address

200 Kienle Dr
Piqua, OH 45356-4120

Phone

(937) 773-4123

Fax

(937) 773-7717

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Keith F Boggs, BA

Title

Administrator

Phone

(937) 773-4123

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790778116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KIENLE DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564120",
            "telephone_number": "937-773-4123",
            "fax_number": "937-773-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KIENLE DR",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564120",
            "telephone_number": "937-773-4123",
            "fax_number": "937-773-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COUNTY SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-773-4123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.