Organization Active NPI

Doctors Urgent Care Offices Medical Group Inc

  • Urgent Care Clinic/Center
  • Fairborn, OH
National Provider Identifier
1891732376
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
NOT APPLICABLE Issued in OH
Legal business name
DOCTORS URGENT CARE OFFICES MEDICAL GROUP INC
Practice address
2131 Gateway Dr
Fairborn, OH 45324-6357
Phone
(937) 873-9500
Fax
(937) 873-9561
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Mr. Paul J. Amrhein
Title
President
Phone
(513) 831-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NOT APPLICABLE OH Primary

Addresses

Primary practice location

2131 Gateway Dr
Fairborn, OH 45324-6357

Mailing address

935 State Route 28
Milford, OH 45150-1911
Phone (513) 831-5955

Other identifiers 1

IdentifierTypeStateIssuer
36D09691967OtherOHCLIA WAIVER

Other names 1

  • Doctors Urgent Care Office Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1891732376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 STATE ROUTE 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501911",
            "telephone_number": "513-831-5955",
            "fax_number": "513-831-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 GATEWAY DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246357",
            "telephone_number": "937-873-9500",
            "fax_number": "937-873-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS URGENT CARE OFFICES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "AMRHEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-831-5955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "36D09691967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Urgent Care Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.