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NOT LTD
NPI 1033624812
Family Medicine - Addiction Medicine in Waynesville, OH

Active since December 03, 2017
415 S MAIN ST, WAYNESVILLE, OH 45068(513) 897-7162 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Dec 3, 2017 (2 updates tracked since 2017).

About Not Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOT LTD (NPI 1033624812) is a healthcare organization registered as an addiction medicine in Waynesville, Ohio and active in the NPI registry since December 2017. The organization maintains 4 additional practice locations and lists Charles Edward Russell, President, as its authorized official.

NPPES Registry Identity

NPI1033624812
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameOXYCLEAN AMBULATORY OPIATE DETOX CENTERS LLC
Location Address415 S MAIN STWaynesville, OH 45068-9553
Mailing Address3195 Dayton Xenia Rd # 900-162Beavercreek, OH 45434-6390 · (937) 718-7677
Phone(513) 897-7162
Organization SubpartNo
Authorized OfficialCharles Edward RussellPresident · (937) 718-7677
Enumeration DateDecember 3, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1033624812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OH · 35050063
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

415 S MAIN ST, Waynesville, OH 45068
Open in Google Maps ↗

Other Names 1

Doing Business AsNot Ltd

Secondary Practice Locations 4

Location 11 Elizabeth PlDayton, OH 45417-3445 · Phone (937) 203-2469
Location 2313 Chillicothe AveHillsboro, OH 45133-7378 · Phone (937) 393-9720
Location 32611 Wayne AveDayton, OH 45420-1833 · Phone (937) 256-7801
Location 411134 Luschek DrBlue Ash, OH 45241-2434 · Phone (513) 827-9273

Other Identifiers 2

Other1245220912Individual Npi
Other35-0-50063OH · State Medical Board

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE VAUGHN FIELDS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
415 S MAIN ST
WAYNESVILLE, OH 45068
Warren County (513) 897-7076
FIELDS MINI-MEDICAL CLINIC
Clinic/Center
415 S MAIN ST
WAYNESVILLE, OH 45068
Warren County (513) 897-7076
FIELDS FAMILY ENTERPRISE, INC
Pharmacist
415 S MAIN ST
WAYNESVILLE, OH 45068
Warren County (513) 897-7076

Frequently Asked Questions

What is OXYCLEAN AMBULATORY OPIATE DETOX CENTERS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1033624812, enumerated as an "organization" on December 03, 2017.

Where is the provider located?

The provider is located at 415 S MAIN ST WAYNESVILLE, OH 45068 and the phone number is (513) 897-7162.

What is the provider's specialty?

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

What insurance does OXYCLEAN AMBULATORY OPIATE DETOX CENTERS LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.