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Contact Information

HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC
3130 N COUNTY ROAD 25A
TROY, OH45373-1337
 Phone: 937-440-7888
 Fax: 937-440-7880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC

NPI Number 1124430491
LBN Legal business name HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC
Authorized official FRANK WILLIAMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2014
Last updated 06/01/2023 - About 3 years ago
Identifiers
OH Medicaid 0152904
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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