Basic Information
| Provider Information | |||||||||
| NPI: | 1285630137 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KARNITIS | ||||||||
| FirstName: | V. JOSEPH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PRESTIGE PL | ||||||||
| Address2: | SUITE 550 | ||||||||
| City: | MIAMISBURG | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453423794 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377522305 | ||||||||
| FaxNumber: | 9375227513 | ||||||||
| Practice Location | |||||||||
| Address1: | 3533 SOUTHERN BLVD | ||||||||
| Address2: | SUITE 4100 | ||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454291264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373958444 | ||||||||
| FaxNumber: | 9373958450 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2005 | ||||||||
| LastUpdateDate: | 12/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/19/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VE0102X | 35064439 | OH | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology |
ID Information
| ID | Type | State | Issuer | Description | 22190 | 01 | OH | GREATLAKES HEALTH PLAN | OTHER | 344428256007 | 01 | OH | HUMANA | OTHER | OC03449 | 01 | OH | NATIONWIDE | OTHER | 344428256075 | 01 | OH | CARESOURCE | OTHER | 344428256 | 01 | OH | FRONTPATH | OTHER | 344428256 | 01 | OH | BEECH STREET | OTHER | 000000036081 | 01 | OH | ANTHEM COMMERICAL | OTHER | 344428256 | 01 | MI | PHCS | OTHER | 01521 | 01 | OH | PARAMOUNT | OTHER | 0924325 | 05 | OH | MEDICAID | 4321897 | 01 | OH | AETNA | OTHER | 000000036081 | 01 | OH | ANTHEM MEDICAID | OTHER | 344428256 | 01 | OH | EMERALD | OTHER | 4147459 | 05 | MI | MEDICAID | 8852 | 01 | OH | HEALTH PLAN OF MI | OTHER |