Organization
DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA LYNN MCFARLAND (CORPORATION SECRETARY)
(937) 233-0748
Entity
Organization
Contact information
Practice address
5212 BRANDT PIKE, SUITE A, HUBER HEIGHTS, OH 45424-6138
(937) 233-0748
(937) 233-6086
Mailing address
5212 BRANDT PIKE, SUITE A, HUBER HEIGHTS, OH 45424-6138
(937) 233-0748
(937) 233-6086
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35043565M
OH
207R00000X
Internal Medicine Physician
35058434M
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
34003765
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011389
ANTHEM PIN
OH
01
—
000000011437
ANTHEM PIN
OH
01
—
000000269197
ANTHEM PIN
OH
01
—
368588672011
MMO PIN
OH
01
—
394601220014
MEDICAL MUTUAL PIN
OH
01
—
485805933016
MMO PIN
OH
01
—
9190162
PTAN
OH
Enumeration date
05/29/2007
Last updated
10/05/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us