Individual
DR. MICHAEL A ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7700 WASHINGTON VILLAGE DR STE 130, CENTERVILLE, OH 45459-4094
(937) 531-0195
(937) 531-0196
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1310
(937) 522-8493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34008804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490751
BCBS-OH
—
01
—
000000823179
BCBS - ANTHEM PMG
OH
05
—
2702954
—
OH
01
—
311175717
TRICARE HEALTHNET
OH
01
—
311175717224
CARESOURCE
OH
01
—
421534506
HEALTHNET
OH
01
—
4515730
CIGNA
OH
01
—
7721889
AETNA
OH
01
—
P00478009
RAIL ROAD MEDICARE
OH
Enumeration date
07/08/2006
Last updated
01/12/2021
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