| Waterstreet Family Practice, Inc. | |
|
1162 N Monroe Dr Xenia OH 45385-1620 | |
| (937) 374-6450 | |
| (937) 374-6455 |
| Full Name | Waterstreet Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1162 N Monroe Dr, Xenia, Ohio |
| Authorized Official Name and Position | Penny Sue Hogan (PHYSICIAN) |
| Authorized Official Contact | 9373746450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterstreet Family Practice, Inc. 1162 N Monroe Dr Xenia OH 45385-1620 Ph: (937) 374-6450 | Waterstreet Family Practice, Inc. 1162 N Monroe Dr Xenia OH 45385-1620 Ph: (937) 374-6450 |
| NPI Number | 1831300862 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831300862 | NPI | - | NPPES |
| 2150032 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 35071125H (Ohio) | Primary |
Pages Family Practice Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1157 N Monroe Dr, Suite 210, Xenia, OH 45385 Phone: 937-352-2750 Fax: 937-352-3751 | |
After Hours Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Xenia Towne Sq, Xenia, OH 45385 Phone: 937-751-7477 | |
Greene Memorial Hospital Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 N Detroit St, Xenia, OH 45385 Phone: 937-376-4396 Fax: 937-376-4397 | |
Greene Memorial Hospital Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1157 N Monroe Dr, Suite 200, Xenia, OH 45385 Phone: 937-374-3484 Fax: 937-374-7484 | |
American Consulting Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Main St, Xenia, OH 45385 Phone: 225-287-6812 | |
Hospitality Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 N Detroit St Ste 101, Xenia, OH 45385 Phone: 513-518-5164 | |
Alliance Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Progress Dr, Xenia, OH 45385 Phone: 937-374-4041 Fax: 937-374-4020 |