Healthcare Provider Details

I. General information

NPI: 1508987629
Provider Name (Legal Business Name): PHYSICIANS & SURGEONS FOR WOMEN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 E HIGH ST
SPRINGFIELD OH
45505-1225
US

IV. Provider business mailing address

1821 E HIGH ST
SPRINGFIELD OH
45505-1225
US

V. Phone/Fax

Practice location:
  • Phone: 937-323-7340
  • Fax: 937-323-3363
Mailing address:
  • Phone: 937-323-7340
  • Fax: 937-323-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34004683
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35064397
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35084279
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35100047
License Number StateOH

VIII. Authorized Official

Name: DR. DAVID BILLING
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-323-7340