Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Medical Group Inc

Organization Obstetrics & Gynecology Physician · NPI 1821373945

Providence Medical Group Inc is an Obstetrics & Gynecology Physician in Centerville, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7756 Washington Village Dr Ste 125
Centerville, OH 45459-3999
Phone: (937) 297-8999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 005030 (OH)

Record details

NPI number1821373945
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Medical Group
Authorized official Susan Becker — Chief Operations Officer · (937) 297-8999
Other names Providence Surgery Center@ Cornerstone
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 20, 2011
Mailing address2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674

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