Southmoor Medical Associates

LBN: Southmoor Medical Associates
Southmoor Medical Associates is an health care organization with primary practice located at 38 Southmoor Cir Ne , Kettering OH 45429-2443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southmoor Medical Associates can be contacted via phone (937) 294-4487, or through Hochwalt, John Jerome via phone (937) 294-4487.

Contact Information

Primary practice address
38 Southmoor Cir Ne Kettering OH 45429-2443
Phone: (937) 294-4487
Fax: (937) 294-2255
Website:
Map and Directions
Authorized official contact:
Name: Hochwalt, John Jerome
Phone: (937) 294-4487

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1336264209
LBN Legal business name Southmoor Medical Associates
DBA Doing business as
Authorized official Hochwalt, John Jerome
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336264209 NPPES
Ohio MEDICAID 0198772

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