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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Providence Medical Group Inc

Obstetrics & Gynecology Physician in Centerville, OH · enumerated 2011 · authorized official Susan Becker, Chief Operations Officer.

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

National Provider Identifier

1821373945

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Medical Group Inc
Other name <Unavail>
Parent organization Providence Medical Group
Practice address 7756 Washington Village Dr, Suite 125, Centerville, OH, 45459
Phone (937) 297-8999
Enumeration date Oct 20, 2011
Last updated in NPPES Oct 20, 2011

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 005030 (OH) Primary

Authorized official

Name Susan Becker
Title Chief Operations 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

Who is the authorized official for Providence Medical Group Inc?
NPPES lists Susan Becker (Chief Operations Officer) as the authorized official for this organization.
What is the NPI number for Providence Medical Group Inc?
The NPI for Providence Medical Group Inc is 1821373945, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-20.