Organization
NEUROSURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GREENE (REIMBURSEMENT SVCS MANAGER)
(937) 438-2140
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 5350, KETTERING, OH 45429
(937) 643-9299
(937) 643-2343
Mailing address
3533 SOUTHERN BLVD, SUITE 5350, KETTERING, OH 45429
(937) 643-9299
(937) 643-2343
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3881690001
MEDICARE DMERC
OH
01
—
CM1911
RAILROAD MEDICARE
OH
Enumeration date
08/31/2005
Last updated
04/01/2008
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