Individual
JOEL D MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7790 DAYTON SPRINGFIELD RD STE B, FAIRBORN, OH 45324-1996
(937) 340-6440
(937) 340-6441
Mailing address
7790 DAYTON SPRINGFIELD RD STE B, FAIRBORN, OH 45324-1996
(937) 399-7777
(937) 399-6794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-08-0461-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222542
ANTHEM
OH
01
—
0109435
UNITED HEALTH CARE
OH
01
—
08018351
RR MEDICARE
OH
05
—
2314909
—
OH
01
—
7572352
AETNA
OH
01
—
97569
NATIONWIDE
OH
01
—
OH0036839
TRICARE/CHAMPUS
OH
Enumeration date
05/24/2005
Last updated
10/21/2022
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