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NPI Code Detail

MEDICARE: MIDDLETOWN EMERGENCY PHYSICIANS, INC.

MEDICARE: MIDDLETOWN EMERGENCY PHYSICIANS, INC.
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
1207P00000XEmergency Medicine Physician1402092OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3DA8121OTHEROHRRMEDICARE GRP PROVIDER #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000316938OTHEROHBC/BS GRP PROVIDER NUMBER

General Provider Information

NPI Number : 1932108784
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDDLETOWN EMERGENCY PHYSICIANS, INC.
Provider Business Mailing Address
First Line : 4750 HEMPSTEAD STATION DR
Second Line :
City : KETTERING
State : OH
Zip : 45429-5164
Country : US
Telephone Number : 800-875-0136
Fax Number : 937-619-4231
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : FRANKLIN
State : OH
Zip : 45005-2584
Country : US
Telephone Number : 513-312-3656
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM A COLE JR.
Credential : MD
Telephone Number : 937-312-3627
Provider Enumeration Date : 07/14/2005
Last Update Date : 05/12/2008

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Directions to “MIDDLETOWN EMERGENCY PHYSICIANS, INC. ” Practice Location

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