Asthma And Respiratory Center Of South Dayton INC
Internal Medicine, Pulmonary Disease in Centerville, OH. Organization (NPI-2).
NPI number1508040908
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1508040908
- Entity type
- Organization (NPI-2)
- Legal business name
- Asthma And Respiratory Center Of South Dayton INC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2007
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
Practice location
8371 Yankee StCenterville, OH 45458-1810
Phone 937-859-5864
Mailing address
Po Box 636746Cincinnati, OH 45263-0001
Phone 937-859-5864 · Fax 937-859-8858
Authorized official
Fred Arthur Wagshul
Owner/ Ceo
9378595864
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