Active NPIIndividual providerSole proprietor

Michael P Prendergast, MD

Student in an Organized Health Care Education/Training Program in Dayton, Ohio

NPI Number1730743964
Practice location
1 Childrens Plz, Dayton, OH 45404-1873
Fax
—
Last updated
September 25, 2022

Michael Patrick Prendergast is a Student in an Organized Health Care Education/Training Program based in Dayton, OH. Michael Patrick Prendergast practices in Dayton, OH and has the professional credentials of MD. The NPI Number for Michael Patrick Prendergast is 1730743964 and holds a License No. MD26386 (ME). The current practice location address for Michael Patrick Prendergast is 1 Childrens Plz, Dayton, OH 45404-1873 and can be reached out via phone at 937-641-3433.

Provider Profile Details

NPI Number
1730743964
Provider Name
Michael Patrick Prendergast
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Childrens Plz, Dayton, OH 45404-1873
Phone Number
937-641-3433
Sole Proprietor
Yes
Provider Enumeration Date
April 23, 2019
Last Update Date
September 25, 2022
Certification Date
September 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Childrens Plz
Dayton, OH 45404-1873
City
Dayton
State
Ohio
Zip
45404-1873
Phone Number
937-641-3433
Dayton, OH 45404Get directions →

Provider Business Mailing Address Details

Address
1 Childrens Plz
Dayton, OH 45404-1873
City
Dayton
State
OH
Zip
45404-1873
Phone Number
937-641-3433

License Information

License Number (1)
MD26386
License State (1)
ME
Taxonomy (1)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael P Prendergast, MD?

The NPI number of Michael P Prendergast, MD is 1730743964. It was assigned on April 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Michael P Prendergast, MD?

Michael P Prendergast, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in ME under license number MD26386.

Where does Michael P Prendergast, MD practice?

The practice location is 1 Childrens Plz, Dayton, OH 45404-1873. The office can be reached at 937-641-3433 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730743964 directly on the NPPES registry website.

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