MEDICARE: DR. EMMA E GARCIA DO

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	34004456	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	080191707	OTHER	OH	RAILROAD MEDICARE

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
2	34004456G	OTHER	OH	MEDICAL LICENSE
3	000000227886	OTHER	OH	UNICARE
4	17185	OTHER	OH	NATIONWIDE
5	4240229	OTHER	OH	AETNA
6	D0445603	OTHER	OH	HUMANA/CHOICECARE
7	421534506077	OTHER	OH	CARESOURCE
8	000000227886	OTHER	OH	ANTHEM
9	28166974800	OTHER	OH	OHIO BWC

General Provider Information

NPI Number	:	1659357770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMA E GARCIA DO

Provider Business Mailing Address
First Line	:	2912 SPRINGBORO W
Second Line	:	SUITE 201
City	:	DAYTON
State	:	OH
Zip	:	45439-1674
Country	:	US
Telephone Number	:	937-297-8996
Fax Number	:	937-885-0702

Provider Business Practice Location Address
First Line	:	70 REMICK BLVD
Second Line	:
City	:	SPRINGBORO
State	:	OH
Zip	:	45066-9168
Country	:	US
Telephone Number	:	937-885-0701
Fax Number	:	937-885-0702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	01/21/2010

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Directions to “ DR. EMMA E GARCIA DO” Practice Location

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