Search › Ohio › 207RC0000X

Samuel Theis, DO

NPI 1235638081 · on the registry since 2018

Practice

Address
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433
Phone
(937) 257-1770
Organisation at this address
Dayton Vamc
United States Air Force
United States Air Force
Wright Patterson Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
337

Additional practice sites

  • 9000 N Main St Ste 101, Englewood, OH

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207R00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio