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NPI Code Detail

MEDICARE: POST ACUTE SOLUTIONS, LLC

MEDICARE: POST ACUTE SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2208800000XUrology Physician
3208D00000XGeneral Practice Physician
4208M00000XHospitalist Physician
5363A00000XPhysician Assistant
6363LF0000XFamily Nurse Practitioner
7363LG0600XGerontology Nurse Practitioner
8363LP2300XPrimary Care Nurse Practitioner
9207QG0300XGeriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1013290683
Entity Type Code : Organization
Provider Name (Legal Business Name) : POST ACUTE SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 1251 E DOROTHY LN
Second Line : SUITE A
City : KETTERING
State : OH
Zip : 45419-2106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1251 E DOROTHY LN
Second Line : SUITE A
City : KETTERING
State : OH
Zip : 45419-2106
Country : US
Telephone Number : 513-575-6325
Fax Number : 937-853-0552
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. WARREN D GANZSARTO
Credential :
Telephone Number : 937-671-4040
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/22/2011

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