Organization Active NPI

Miami County OB-GYN Associates LLC

  • Specialist
  • Troy, OH
National Provider Identifier
1972789394
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-07-3592-D Issued in OH
Legal business name
MIAMI COUNTY OB-GYN ASSOCIATES LLC
Practice address
3130 N Dixie Hwy
Suite 203
Troy, OH 45373-1337
Phone
(937) 339-7982
Fax
(937) 339-7842
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Daniel J Dilworth, M.D.
Title
Owner
Phone
(937) 339-7982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-07-3592-D OH Primary

Addresses

Primary practice location

3130 N Dixie Hwy
Suite 203
Troy, OH 45373-1337

Mailing address

3130 N Dixie Hwy
Suite 203
Troy, OH 45373-1337
Phone (937) 339-7982

Other identifiers 1

IdentifierTypeStateIssuer
2314043MedicaidOH

National Provider Directory

National Provider Directory

Locations

3130 N Dixie Hwy
Ste 203
Troy, OH 45373
Phone (937) 339-7982

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1972789394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "SUITE 203",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-339-7982",
            "fax_number": "937-339-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "SUITE 203",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-339-7982",
            "fax_number": "937-339-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COUNTY OB-GYN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-339-7982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-07-3592-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.