Beavercreek OB/Gyn – Obstetrics & Gynecology Physician, NPI 1275586984

Beavercreek OB/Gyn is a healthcare provider. based in Springboro, Ohio. specializing in Obstetrics & Gynecology Physician. The NPI Number for Beavercreek OB/Gyn is 1275586984

Main info

Organization
Name
Beavercreek OB/Gyn
NPI
1275586984
Phone
(937) 748-8516
Address
630 N MAIN ST
Authorized Official
KENNETH PRUNIER CEO AND PRESIDENT
Enumeration Date
17 May 2006
Last Update Date
4 November 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Beavercreek OB/Gyn

  • 630, North Main Street, Springboro, Warren County, Ohio, 45066, United States

    STE 200A

    SPRINGBORO, OH 450667519

    Phone: (937) 748-8516

    Fax: (937) 748-8593

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45066)

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Reviews

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Frequently asked questions

What NPI should I save for Beavercreek OB/Gyn?
Save NPI 1275586984 if you need a stable reference for Beavercreek OB/Gyn.
Is Beavercreek OB/Gyn's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Beavercreek OB/Gyn?
The page reflects Obstetrics & Gynecology Physician for Beavercreek OB/Gyn. Clinical services aligned with this taxonomy classification.
What location shows for Beavercreek OB/Gyn?
We surface Springboro, Ohio for Beavercreek OB/Gyn based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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