Active NPI
Mvhe Inc
Doing business as Medical South Family Practice
- Family Medicine Physician
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MVHE INC
- Doing business as
- Medical South Family Practice
- Practice address
- 330 N Main St
Centerville, OH 45459-4465 - Phone
- (937) 433-0960
- Fax
- (937) 433-0958
- NPI assigned
- Jun 3, 2014
- Last updated
- Jun 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Prunier
- Title
- Ceo/President
- Phone
- (937) 499-8205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
330 N Main St
Centerville, OH 45459-4465
Mailing address
330 N Main St
Centerville, OH 45459-4465
Phone (937) 433-0960
Other names 1
- Medical South Family Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000553 | OH | Part B Supplier - Clinic/Group Practice | 9537066584 |
Receives reassigned benefits from 777 practitioners 47 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Franklin, OH; Huber Heights, OH; Jamestown, OH; Kettering, OH; Lebanon, OH; Liberty Township, OH; Middletown, OH; Monroe, OH… |
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-
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-
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-
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-
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-
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-
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-
dba Springboro Healthcare
- Internal Medicine Physician
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- NPI 1194981688
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-
dba Tylers Place Medical Group
- Internal Medicine Physician
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- NPI 1194999839
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-
dba First Care Family Medical
- Family Medicine Physician
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- NPI 1205138872
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-
dba Beavercreek Family Physicians
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-
dba Miami Valley Primary Care
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National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Fort Recovery, OH
- NPI 1275941254
-
- General Practice Physician
- Springboro, OH
- NPI 1760421408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401753600000",
"number": "1912310400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594465",
"telephone_number": "937-433-0960",
"fax_number": "937-433-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594465",
"telephone_number": "937-433-0960",
"fax_number": "937-433-0958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVHE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A",
"authorized_official_last_name": "PRUNIER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "937-499-8205"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical South Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.