MEDICARE: BEAVERCREEK FAMILY CARE ASSOCIATES LTD

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093709826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAVERCREEK FAMILY CARE ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	2510 COMMONS BLVD
Second Line	:	SUITE #275
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-3820
Country	:	US
Telephone Number	:	937-431-3700
Fax Number	:	937-431-3705

Provider Business Practice Location Address
First Line	:	2510 COMMONS BLVD
Second Line	:	SUITE #275
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-3820
Country	:	US
Telephone Number	:	937-431-3700
Fax Number	:	937-431-3705

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. DONNA L WHITMER
Credential	:
Telephone Number	:	937-431-3700

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	02/12/2010

Similar Medicare Providers

1003814526 — DR. TROY ALAN TYNER D.O.,F.A.C.O.I.
Practice Location Address:

2510 COMMONS BLVD , SUITE 210
BEAVERCREEK, OH
45431-3820

Practice Phone: 937-429-0607
Practice Fax: 937-558-3067

1780682146 — JOHN WALTER SAWVEL DO
Practice Location Address:

2510 COMMONS BLVD , SUITE 220
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1770581951 — CARLA M MYERS DO
Practice Location Address:

2510 COMMONS BLVD , SUITE 210
BEAVERCREEK, OH
45431-3820

Practice Phone: 937-429-0607
Practice Fax: 937-558-3067

1952309726 — INGRID M BROWN DO
Practice Location Address:

2510 COMMONS BLVD , SUITE 210
BEAVERCREEK, OH
45431-3820

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1821098419 — DR. LAZARO J PAGES MD
Practice Location Address:

2510 COMMONS BLVD , SUITE 160
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1679559470 — DR. JOHN C SEFTON DO
Practice Location Address:

2510 COMMONS BLVD , SUITE 110
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Directions to “BEAVERCREEK FAMILY CARE ASSOCIATES LTD ” Practice Location

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