Organization
OXFORD PEDIATRICS & ADOLESCENTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN BUERK MD (PRESIDENT OWNER)
(513) 523-2156
Entity
Organization
Contact information
Practice address
10058 COOLEY RD, BROOKVILLE, IN 47012
(765) 647-2681
(765) 647-3047
Mailing address
5141 MORNING SUN RD, OXFORD, OH 45056
(513) 523-2156
(513) 523-2503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009895
ANTHEM BC BS
IN
01
—
000000009895
ANTHEM BCBS
OH
Enumeration date
10/04/2006
Last updated
08/22/2020
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