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Providence Medical Group, Inc.

Diagnostic Radiology Physician in Moraine, OH · enumerated 2016 · authorized official Susan Becker, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659726768

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Medical Group, Inc.
Other name <Unavail>
Practice address 2912 Springboro Rd, Suite 201, Moraine, OH, 45439
Phone (937) 396-8137
Fax (937) 297-4868
Enumeration date Apr 26, 2016
Last updated in NPPES Apr 26, 2016

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Susan Becker
Title Chief Operating Officer
Phone (937) 297-8999

Other identifiers

Identifier Type State Issuer
2380294 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Providence Medical Group, Inc.?
The NPI for Providence Medical Group, Inc. is 1659726768, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Medical Group, Inc.?
NPPES lists Susan Becker (Chief Operating Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-26.