Provider Demographics
NPI:1679559470
Name:SEFTON, JOHN C (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:SEFTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2510 COMMONS BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-3820
Mailing Address - Country:US
Mailing Address - Phone:937-490-0125
Mailing Address - Fax:937-306-1536
Practice Address - Street 1:2510 COMMONS BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-3820
Practice Address - Country:US
Practice Address - Phone:937-490-0123
Practice Address - Fax:937-306-7536
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2020-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34004130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH635459OtherAETNA
OHD0413004OtherHUMANA/CHOICECARE
OH080191718OtherRAILROAD MEDICARE
OH000000227879OtherUNICARE
OH421534506059OtherCARESOURCE
OH0678020Medicaid
OH0120590OtherUNITED HEALTHCARE
OH000000227879OtherANTHEM
OH34004130SOtherMEDICAL LICENSE
OHD0413004OtherHUMANA/CHOICECARE
OH0678020Medicaid
OHH368890Medicare PIN