PROVIDENCE MEDICAL GROUP
NPI 1972533149
Family Medicine in Dayton, OH

Q: What is Providence Medical Group's NPI number?

The NPI number for Providence Medical Group is 1972533149. It was assigned to this organization in the NPPES registry on July 4, 2006.

Q: What is Providence Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 04, 2006

2912 SPRINGBORO RD W, SUITE 201, DAYTON, OH 45439(937) 297-8999(937) 297-4852 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1972533149) is a healthcare organization registered as a family medicine in Dayton, Ohio and active in the NPI registry since July 2006. The organization lists Susan J Becker, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1972533149

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE MEDICAL GROUP

Location Address2912 SPRINGBORO RD W, SUITE 201Dayton, OH 45439-1674

Mailing Address2912 Springboro Rd W, Suite 201Dayton, OH 45439-1674 · (937) 297-8999 · Fax (937) 297-4852

Phone(937) 297-8999

Fax(937) 297-4852

Organization SubpartNo

Authorized OfficialSusan J BeckerChief Operating Officer · (937) 297-8999

Enumeration DateJuly 4, 2006

Last NPPES UpdateOctober 19, 2022

NPPES CertifiedOctober 19, 2022

✔ NPI 1972533149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1313008 (OH)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

2912 SPRINGBORO RD W, Dayton, OH 45439

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Other Identifiers 1

Medicaid2380294OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Medical Group's NPI number?

The NPI number for Providence Medical Group is 1972533149. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Providence Medical Group located?

Providence Medical Group is located at 2912 Springboro Rd W Suite 201, Dayton, OH 45439. The listed phone number is (937) 297-8999.

What is Providence Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Providence Medical Group accept?

Health plans from Anthem Blue Cross and Blue Shield list Providence Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Medical Group was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.