Unknown Individual – Family Medicine Physician, NPI 1417057589
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Red Coach Drive, Seans Woods, Springfield, Clark County, Ohio, 45503, United States
SPRINGFIELD, OH 455031297
Phone: (937) 399-3010
Fax: (937) 399-3020
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 81002 | Urinalysis, manual test | 34 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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