Provider Demographics
NPI:1285630137
Name:KARNITIS, V. JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:V. JOSEPH
Middle Name:
Last Name:KARNITIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 PRESTIGE PL
Mailing Address - Street 2:SUITE 550
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-3794
Mailing Address - Country:US
Mailing Address - Phone:937-752-2305
Mailing Address - Fax:937-522-7513
Practice Address - Street 1:3533 SOUTHERN BLVD
Practice Address - Street 2:SUITE 4100
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1264
Practice Address - Country:US
Practice Address - Phone:937-395-8444
Practice Address - Fax:937-395-8450
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35064439207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH22190OtherGREATLAKES HEALTH PLAN
OH344428256007OtherHUMANA
OHOC03449OtherNATIONWIDE
OH344428256075OtherCARESOURCE
OH344428256OtherFRONTPATH
OH344428256OtherBEECH STREET
OH000000036081OtherANTHEM COMMERICAL
MI344428256OtherPHCS
OH01521OtherPARAMOUNT
OH0924325Medicaid
OH4321897OtherAETNA
OH000000036081OtherANTHEM MEDICAID
OH344428256OtherEMERALD
MI4147459Medicaid
OH8852OtherHEALTH PLAN OF MI
OH344428256OtherFRONTPATH
OH8852OtherHEALTH PLAN OF MI
OH0924325Medicaid