INTERNAL MEDICINE AND PEDIATRICS OF CENTERVILLE
NPI 1154376242
Internal Medicine in Centerville Finance, OH
About Internal Medicine And Pediatrics Of Centerville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERNAL MEDICINE AND PEDIATRICS OF CENTERVILLE (NPI 1154376242) is an internal medicine in Centerville Finance, Ohio and active in the NPI registry since May 2006. The organization lists Kenneth Prunier, Ceo/president, as its authorized official.Information from the official NPPES registry record, last updated November 6, 2013.
NPPES Registry Identity
★ Primary Specialty
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly.… Show more
Also Listed
Also on File with NPPES
0967486 (Medicaid, OH)
9187611 (Medicare PIN, OH)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0349656
- Facility Type
- Physician Office
- Certificate Effective Date
- July 17, 2024
- Certificate Expiration Date
- July 16, 2026
- Laboratory Director
- MICKEY E. DENEN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Internal Medicine And Pediatrics Of Centerville in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
CENTERVILLE, OH 45459
CENTERVILLE, OH 45459
CENTERVILLE, OH 45459
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154376242, enumerated as an "organization" on May 24, 2006.
The provider is located at 6611 CLYO RD SUITE A CENTERVILLE FINANCE, OH 45459 and the phone number is (937) 208-7300.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
