Provider Demographics
NPI:1437212578
Name:NANCY G. ROMER MD INC.
Entity Type:Organization
Organization Name:NANCY G. ROMER MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-208-5250
Mailing Address - Street 1:1 WYOMING ST
Mailing Address - Street 2:STE. 3130
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2722
Mailing Address - Country:US
Mailing Address - Phone:937-208-5250
Mailing Address - Fax:
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:STE. 3130
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-5250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2007956Medicaid
OH4944180001OtherMEDICARE DME
OHCI4958OtherRAILROAD MEDICARE
OH=========-00OtherWORKERS COMPENSATION
OH9222841Medicare PIN