NPIMap

Alliance Physicians, Inc.

Organization Active NPI Surgery Physician · Xenia, OH

NPI 1902220437 · NPPES record last updated Oct 4, 2019

Key facts

NPI
1902220437
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
ALLIANCE PHYSICIANS, INC.
Practice address
244 Wilson Dr
Xenia, OH 45385-1864
Phone
(937) 372-1602
Fax
(937) 372-0154
NPI assigned
Feb 4, 2014
Organization subpart
No

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) 17

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

Practitioners 13

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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

244 Wilson Dr
Xenia, OH 45385-1864

Mailing address

1 Prestige PL
Suite 550
Miamisburg, OH 45342-3794
Phone (937) 752-2306

Other identifiers

IdentifierTypeStateIssuer
0097818MedicaidOH

Other names

  • Surgical Associates of Greene County Doing business as

Other providers in Xenia, OH

All providers in Xenia, OH · Surgery Physician in Ohio

Sources for this page

Verify at the official NPI Registry.