| Stroop Medical, Inc. | |
|
1360 E Stroop Rd Kettering OH 45429-4926 | |
| (937) 294-5566 | |
| (937) 296-0570 |
| Full Name | Stroop Medical, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1360 E Stroop Rd, Kettering, Ohio |
| Authorized Official Name and Position | Carol Gaut Ryan (PRESIDENT) |
| Authorized Official Contact | 9372945566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stroop Medical, Inc. 1360 E Stroop Rd Kettering OH 45429-4926 Ph: (937) 294-5566 | Stroop Medical, Inc. 1360 E Stroop Rd Kettering OH 45429-4926 Ph: (937) 294-5566 |
| NPI Number | 1770771081 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 03/15/2013 |
| Medicare PECOS PAC ID | 6406889195 |
|---|---|
| Medicare Enrollment ID | O20050913001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770771081 | NPI | - | NPPES |
| 0269758 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35038029 (Ohio) | Primary |
| Provider Name | Carol G Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134131519 PECOS PAC ID: 9133311533 Enrollment ID: I20101004000941 |
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