Organization
MIDDLETOWN MEDICAL GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RUSSELL JENNEWINE MD (PRESIDENT)
(513) 424-2535
Entity
Organization
Contact information
Practice address
200 N BREIEL BLVD, MIDDLETOWN, OH 45042-3808
(513) 424-2535
(513) 424-0363
Mailing address
6850 SLOEBIG RD, MIDDLETOWN, OH 45042-9448
(513) 424-2535
(513) 424-0363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338625
—
OH
Enumeration date
01/18/2006
Last updated
08/22/2020
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