Provider Demographics
NPI:1669697249
Name:PERINATAL PARTNERS, LLC
Entity type:Organization
Organization Name:PERINATAL PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, SECRETARY,TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:STUERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-208-6088
Mailing Address - Street 1:1 WYOMING ST
Mailing Address - Street 2:BERRY BLDG GROUND
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2722
Mailing Address - Country:US
Mailing Address - Phone:937-208-6088
Mailing Address - Fax:937-208-5190
Practice Address - Street 1:7707 PARAGON RD
Practice Address - Street 2:STE 103
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4041
Practice Address - Country:US
Practice Address - Phone:937-208-6970
Practice Address - Fax:937-208-6974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1730184698OtherNPI WYOMING ST. LOCATION
OH1780689638OtherNPI RAN NEIGER, MD
OH2184532Medicaid
OH1023013976OtherNPI JIRI SONEK, MD
OH1235134180OtherNPI CHRISOPHER CROOM, MD
OH1578568424OtherNPI DAVID MCKENNA, MD
OH=========OtherTIN
OH1578568424OtherNPI DAVID MCKENNA, MD
OH2184532Medicaid
OH1023013976OtherNPI JIRI SONEK, MD
OH1235134180OtherNPI CHRISOPHER CROOM, MD
OHE30017Medicare UPIN