Organization
PEDIATRIX MEDICAL GROUP OF OHIO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M PITZER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
(937) 208-4515
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(803) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
363LN0005X
Critical Care Neonatal Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176741
—
OH
Enumeration date
09/17/2006
Last updated
11/14/2025
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