Organization
DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.
Active
Organization
DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS BERGMAN CFO (C.F.O.)
(937) 641-3338
Entity
Organization
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
152WP0200X
Pediatric Optometrist
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
364SP0200X
Pediatric Clinical Nurse Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0888633
—
OH
01
—
H557370
MEDICARE
—
Enumeration date
12/20/2006
Last updated
06/10/2026
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