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Contact Information

MATTHEW P DOEPKER, MD
2300 MIAMI VALLEY DR STE 350
CENTERVILLE, OH45459-1294
 Phone: 937-424-2469
 Fax: 937-424-2479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MATTHEW P DOEPKER · (Male)

NPI # 1316232606
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2011
Last updated 11/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.134802
  • SC License # 39255
  • OH Medicaid 0316031
  • SC Medicaid 392550
  • SC Other 39255 LICENSE
Hospital affiliation(s)
  • KETTERING MEDICAL CENTER - (Acute Care)
    3535 SOUTHERN BOULEVARD
    KETTERING, OH 45429
  • MIAMI VALLEY HOSPITAL - (Acute Care)
    ONE WYOMING STREET
    DAYTON, OH 45409
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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