Middletown Medical Group,Inc.

LBN: Middletown Medical Group,Inc.
Middletown Medical Group,Inc. is an health care organization with primary practice located at 200 N Breiel Blvd , Middletown OH 45042-3808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Middletown Medical Group,Inc. can be contacted via phone (513) 424-2535, or through Jennewine, Paul Russell via phone (513) 424-2535.

Contact Information

Primary practice address
200 N Breiel Blvd Middletown OH 45042-3808
Phone: (513) 424-2535
Fax: (513) 424-0363
Website:
Map and Directions
Authorized official contact:
Name: Jennewine, Paul Russell Doctor of Medicine (MD)
Phone: (513) 424-2535

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1477533446
LBN Legal business name Middletown Medical Group,Inc.
DBA Doing business as
Authorized official Jennewine, Paul Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477533446 NPPES
Ohio MEDICAID 2338625

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