DR. EMMETT H BROXSON JR. (NPI# 1013023035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013023035 |
| Entity Type | Individual |
| Full Name | DR. EMMETT H BROXSON JR. |
| Credential | MD |
| Practice Address |
1 Childrens Plz Dayton OH 45404-1898 |
| Mailing Address |
7570 Deep Woods Ct Springboro OH 45066-8570 |
| Practice Telephone | 9376413111 |
| Practice Fax Number | 9376415885 |
| Mailing Telephone | 9377484534 |
| Mailing Fax Number | 9376415885 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
35056878 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | LICENSE | 35056878 | 01 |
| OH | BCMH | 0828715 | 01 |
| OH | DEA NUMBER | BB2250544 | 01 |
| OH | 0828715 | 05 |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568619500 | Lionel M.l. Chow | Pediatrics | 1 Childrens Plz, Dayton, OH 45404 | 2008-08-21 |
| 1437352424 | Jordan Matthew Wright | Pediatrics | 1 Childrens Plz, Dayton, OH 45404-1873 | 2007-06-07 |
| 1093824922 | Mukund Govind Dole | Pediatrics | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396036026 | Joseph Ernest Kastelic | Pediatrics | 472 Overwood Rd., Akron, OH 44313-5328 | 2011-04-28 |
| 1053553768 | Mary Christa Krupski | Pediatrics | 3333 Burnet Ave # Mlc7015, Cincinnati, OH 45229-3026 | 2009-03-26 |
| 1316137342 | Jennifer Alyssa Davis | Pediatrics | 3333 Burnet, Mlc 7015, Cincinnati, OH 45229 | 2007-07-26 |
| 1396827523 | Robert J. Wells | Pediatrics | 3333 Burnet Ave # 7015, Cincinnati, OH 45229-3026 | 2006-10-19 |
| 1477650422 | Punam Malik | Pediatrics | 3333 Burnet Ave. Ml 7015, Cincinnati, OH 45229-3026 | 2006-09-20 |
| 1952335101 | Ammar B Morad | Pediatrics | 3333 Burnet Ave Mlc7015, Childrens Hospital Medical Center, Cincinnati, OH 45229 | 2006-07-11 |
| 1225031487 | Maryam Fouladi | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-05-23 |
| 1831192947 | Edwin M Horwitz | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2005-05-23 |
| 1295368488 | Preston Alexander Epling | Pediatrics | 9500 Euclid Ave # R3, Cleveland, OH 44195-0001 | 2020-02-17 |
| 1730532490 | Eman Abdelghani | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.