Provider Demographics
NPI:1730184698
Name:PERINATAL PARTNERS, LLC
Entity type:Organization
Organization Name:PERINATAL PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP TREAS.
Authorized Official - Prefix:
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:ONE WYOMING ST
Mailing Address - Street 2:BERRY BLDG
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2793
Mailing Address - Country:US
Mailing Address - Phone:937-208-6088
Mailing Address - Fax:937-208-5190
Practice Address - Street 1:ONE WYOMING ST
Practice Address - Street 2:BERRY BLDG
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2793
Practice Address - Country:US
Practice Address - Phone:937-208-2516
Practice Address - Fax:937-208-6124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200020700190207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2184532Medicaid
OH2184532Medicaid