MICHAEL KENTRIS


Address: 30 E Apple St Ste 5254a, Dayton, OH 45409-2939
Phone: 9372084200

MICHAEL KENTRIS (NPI# 1063848240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063848240
Entity Type Individual
Full Name MICHAEL KENTRIS
Credential D.O.
Practice Address 30 E Apple St Ste 5254a
Dayton
OH 45409-2939
Mailing Address 3170 Kettering Blvd Bldg B2nd
Moraine
OH 45439-1924
Practice Telephone 9372084200
Practice Fax Number 9372084205
Mailing Telephone 9379913191
Mailing Fax Number 9372239811
Enumeration Date 2013-09-19
Last Update Date 2018-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
34.013375 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0304184 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1044 Belmont Ave, Youngstown, OH 445041006 3307467211
2400 Miami Valley Dr, Centerville, OH 454594774 9372084200 9372082678
9000 N Main St, Englewood, OH 454151180 9372084200 9372082678

Office Location

Street Address 30 E APPLE ST STE 5254A
City DAYTON
State OH
Zip Code 45409-2939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710979000 Gnan N Thakore Internal Medicine 30 E Apple St Ste 5254a, Dayton, OH 45409 2005-08-22
1366942096 Anuradha Surya Devara Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2018-02-19
1598289928 Cynthia Maria Schwartz Clinical Nurse Specialist 30 E Apple St Ste 5254a, Dayton, OH 45409 2017-07-27
1548718802 Daniel Scott Johnstone Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2016-09-15
1851784359 Krischelle Panganiban Rowland Nurse Practitioner 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2015-03-09
1023419041 Sarah Hendrickson Nurse Practitioner 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2014-09-09
1144561903 Lisa Renee Meiring Clinical Nurse Specialist 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2013-03-04
1013288364 Jessica Lynn Galli Robertson Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409 2012-01-18
1811273113 Brandi Nicole Bell Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2011-10-31
1760789598 Saranda Denise Manning Nurse Practitioner 30 E Apple St Ste 5254a, Suite 5254, Dayton, OH 45409 2011-02-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1477057529 Adam Joseph Langer Student in an Organized Health Care Education/Training Program 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 2018-03-22
1659870939 Timothy Wall Student in an Organized Health Care Education/Training Program 128 East Apple St., 2nd Floor, Dayton, OH 45409 2018-02-01
1124551411 Adam Schmerge Deardorff Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 6257, Dayton, OH 45409 2017-04-04
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1679983084 Jude Anneryan Cohen Registered Nurse 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 2014-05-07
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
Find all providers in zip 45409

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932721305 Stephen P Fuqua Psychiatry & Neurology 30 E Apple St # 5254, Dayton, OH 45409-2939 2020-05-08
1790032118 Cassandra J Milling Psychiatry & Neurology 128 E Apple St Fl 2, Wsu Neurology Weber Bldg Suite 2834, Dayton, OH 45409-2902 2012-08-06
1073566147 Robert P Hardman Md Inc Psychiatry & Neurology 300 Forest Ave, Dayton, OH 45405-4536 2006-05-18
1649266016 Babar Hasan Psychiatry & Neurology 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 2005-09-21
1114922390 Joel Vandersluis Psychiatry & Neurology 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459-4296 2005-06-15
1568085959 Louis Curtis Psychiatry & Neurology 1 Wyoming St, Dayton, OH 45409-2711 2020-05-20
1972126274 Graham Kiyoshi Reid Psychiatry & Neurology 30 E Apple St Ste 6257, Dayton, OH 45409-2939 2020-05-20
1386050821 Drew William Dula Psychiatry & Neurology 1975 Miamisburg Centerville Rd, Dayton, OH 45459 2014-07-04
1174961874 Kenneth Douglas Pugar Psychiatry & Neurology 405 W Grand Ave, Dayton, OH 45405-4720 2013-06-05
1861838922 Mark Andrew Macnealy Psychiatry & Neurology 2611 Wayne Ave, Blg 61, Dayton, OH 45420-1833 2013-05-16
Find all providers in DAYTON

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City DAYTON
Zip Code 45409

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Dataset Information

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.

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