Provider Demographics
NPI:1649372855
Name:ALLGEYER, DEANNA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:MARIE
Last Name:ALLGEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MERCHANT STREET
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3740
Mailing Address - Country:US
Mailing Address - Phone:513-533-6507
Mailing Address - Fax:513-645-9767
Practice Address - Street 1:6551 CENTERVILLE BUSINESS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-2696
Practice Address - Country:US
Practice Address - Phone:937-291-6830
Practice Address - Fax:937-291-6893
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7903930OtherAETNA
OH000000491207OtherBCBS-OH
OH7387901OtherMEDICARE NUMBER FOR CLINTON MEMORIAL LOCATION.
OH2701955Medicaid
OH35087461OtherMEDICAL LICENSE NUMBER
OH7387901OtherMEDICARE NUMBER FOR CLINTON MEMORIAL LOCATION.
OHI62848Medicare UPIN