MIAMI VALLEY UROLOGY (NPI# 1073791208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073791208 |
| Entity Type | Organization |
| Organization Name | MIAMI VALLEY UROLOGY |
| Practice Address |
3533 Southern Blvd Ste 3450 Kettering OH 45429-1264 |
| Practice Telephone | 9372930008 |
| Mailing Telephone | 9372930008 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | DR. RAFAEL CRUZ (MEDICAL DOCTOR) |
| Authorized Official Telephone | 9372930008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35034095C | OH | Other Service Providers |
| Street Address |
3533 SOUTHERN BLVD STE 3450 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630137 | V. Joseph Karnitis | Obstetrics & Gynecology | 3533 Southern Blvd, Suite 4100, Kettering, OH 45429-1264 | 2005-06-24 |
| 1881208346 | Alexander John Armstrong | Physician Assistant | 3533 Southern Blvd, Kettering, OH 45429-1264 | 2020-09-02 |
| 1740739051 | Angela Yost | Nurse Practitioner | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 | 2016-09-27 |
| 1215385968 | Angela Ponder | Dietitian, Registered | 3533 Southern Blvd, Suite 3750, Kettering, OH 45429-1264 | 2016-06-02 |
| 1992175798 | Megan Haas | Physician Assistant | 3533 Southern Blvd, Suite 5650, Kettering, OH 45429-1264 | 2015-10-06 |
| 1578931564 | Brian Wesche | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-09-08 |
| 1932577012 | Brooke Marie Obrien | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-09-08 |
| 1841682499 | Keith A Rooker | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Ste 400, Kettering, OH 45429-1264 | 2015-02-19 |
| 1770972804 | Kristen Roth | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-01-13 |
| 1841600574 | Riyad J Tayim | Surgery | 3533 Southern Blvd, Ste 2250, Kettering, OH 45429-1270 | 2014-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528333895 | Jeffrey Lee Niehus | Specialist | 609 Laurelann Dr, City, Kettering, OH 45429-5341 | 2012-03-20 |
| 1033383005 | Pamela Demay | Specialist | 5508 Bigger Rd Apt H, Kettering, OH 45440-2640 | 2008-04-21 |
| 1851503908 | Marian A. Llenado-lee, Md, Inc. | Specialist | 3533 Southern Blvd # 3750, Kettering, OH 45429 | 2007-05-03 |
| 1740306232 | Loren Brockert | Specialist | 135 W Dorothy Ln Ste 116, Kettering, OH 45429-1477 | 2007-03-22 |
| 1174558803 | Shane T Russell | Specialist | 5250 Far Hills Ave Ste 150, Kettering, OH 45429 | 2006-07-11 |
| 1912960329 | James Boyd Nagle | Specialist | 200 Tait Rd, Kettering, OH 45429-1125 | 2006-04-07 |
| 1558354951 | Lawrence E Mieczkowski | Specialist | 3080 Ackerman Blvd Ste 220, Kettering, OH 45429-3658 | 2005-08-31 |
| 1255330676 | Edward Cornelious Jacobs | Specialist | 10 Southmoor Cir Nw, Kettering, OH 45429-2486 | 2005-07-18 |
| 1295106516 | Miami Valley Hearing and Balance, LLC | Specialist | 4720 Wilmington Pike, Kettering, OH 45440-2021 | 2015-10-13 |
| 1508959255 | Center for Cardiometabolic Treatment & Education, Inc. | Specialist | 3080 Ackerman Blvd Ste 220, Kettering, OH 45429-3658 | 2006-10-02 |
| Find all providers in KETTERING | ||||
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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.