=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780682229
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GREGGORY SCOTT VOLK D.O.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2005
-----------------------------------------------------
Last Update Date | 04/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2633 COMMONS BLVD STE 120
-----------------------------------------------------
City | BEAVERCREEK
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45431-3827
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-429-0607
-----------------------------------------------------
Fax | 937-702-9041
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2633 COMMONS BLVD STE 120
-----------------------------------------------------
City | BEAVERCREEK
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45431-3827
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-429-0607
-----------------------------------------------------
Fax | 937-702-9041
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number | 34005481
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 34005481V
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207RH0002X
-----------------------------------------------------
Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | 34005481
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------