Healthcare Provider Details

I. General information

NPI: 1851124671
Provider Name (Legal Business Name): 3M MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 OLD FAIRFIELD RD STE 210
BEAVERCREEK OH
45432-2754
US

IV. Provider business mailing address

1911 OLD FAIRFIELD RD STE 210
BEAVERCREEK OH
45432-2754
US

V. Phone/Fax

Practice location:
  • Phone: 618-554-3683
  • Fax:
Mailing address:
  • Phone: 618-554-3683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ATTA SHAHID
Title or Position: AGENT
Credential:
Phone: 618-554-3683