NPI Code Details Logo

NPI 1932789583

NPI 1932789583 : CLAIRE ROSE HEALY DO : MIDDLETOWN, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1932789583
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CLAIRE ROSE HEALY DO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/08/2021
-----------------------------------------------------
    Last Update Date     |    10/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6147 STATE ROUTE 122 STE 110 
-----------------------------------------------------
    City                 |    MIDDLETOWN
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45005-5201
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-424-1654
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    405 W GRAND AVE 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45405-7538
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-723-3245
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207V00000X
-----------------------------------------------------
    Taxonomy Name        |    Obstetrics & Gynecology Physician
-----------------------------------------------------
    License Number       |    34.017951
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.