MR. EMMANUEL P DSOUZA (NPI# 1073811915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073811915 |
| Entity Type | Individual |
| Full Name | MR. EMMANUEL P DSOUZA |
| Credential | CNP |
| Practice Address |
300 Forest Ave Dayton OH 45405-4500 |
| Mailing Address |
1515 S Breiel Blvd Middletown OH 45044-6701 |
| Practice Telephone | 9375355060 |
| Mailing Telephone | 5134208195 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-07-17 |
| NPI Deactivation Date | 01/24/2013 |
| NPI Reactivation Date | 2015-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.314957 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17016- NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 S Breiel Blvd, Middletown, OH 450446701 | 5134208195 |
| Street Address |
300 FOREST AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45405-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073566147 | Robert P Hardman Md Inc | Psychiatry & Neurology | 300 Forest Ave, Dayton, OH 45405-4536 | 2006-05-18 |
| 1063069466 | Wendell Reginald Taylor Jr. | Nurse Practitioner | 300 Forest Ave, Dayton, OH 45405-4500 | 2019-08-20 |
| 1497316855 | Butler County Community Health Consortium Inc | Clinic/Center | 300 Forest Ave, Dayton, OH 45405-4500 | 2019-06-26 |
| 1700449428 | Community First Pharmacy | Pharmacy | 300 Forest Ave, Dayton, OH 45405-4500 | 2019-04-18 |
| 1053873331 | Laura Elizabeth Miller | Student in an Organized Health Care Education/Training Program | 300 Forest Ave, Dayton, OH 45405-4500 | 2019-04-04 |
| 1386162063 | Andrea Bethany Shellenbarger | Nurse Practitioner | 300 Forest Ave, Dayton, OH 45405-4500 | 2017-09-01 |
| 1912264201 | Audra Jacqueline Ryan-shepard | Psychiatry & Neurology | 300 Forest Ave, Dayton, OH 45405-4500 | 2012-04-12 |
| 1942426994 | Drs Green and Hodge Inc | Colon & Rectal Surgery | 300 Forest Ave, Dayton, OH 45405-4500 | 2007-04-18 |
| 1811043664 | Darin L. Green | Colon & Rectal Surgery | 300 Forest Ave, Dayton, OH 45405-4500 | 2007-01-26 |
| 1134289366 | Neurosurgical Care Inc | Neurological Surgery | 300 Forest Ave, Dayton, OH 45405-4500 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252613 | Christina Giuffrida | Student in an Organized Health Care Education/Training Program | Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 | 2018-04-13 |
| 1740718410 | Iain William Decker | Student in an Organized Health Care Education/Training Program | 330 Forest Ave, Dayton, OH 45405 | 2017-05-25 |
| 1144779000 | Horizon Home Healthcare Service, LLC | Home Health | 201 Riverside Dr Ste 2h, Dayton, OH 45405 | 2016-10-03 |
| 1629347695 | Grandview Hospital | General Acute Care Hospital | 405 West Grand Avenue, Dayton, OH 45405 | 2011-12-21 |
| 1962712265 | Lakisha L Barber | Licensed Practical Nurse | 2039 Rustic Road, Dayton, OH 45405 | 2010-10-20 |
| 1457685232 | Sally Ann Easton | Occupational Therapy Assistant | 1390 King Tree Drive, Dayton, OH 45405 | 2009-09-25 |
| 1083848535 | Azeem Z. Vasi | Otolaryngology | 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 | 2009-05-13 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1003989807 | Han Mok Yang | Internal Medicine | 3213 North Main Street, Dayton, OH 45405 | 2006-11-17 |
| Find all providers in zip 45405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1760094155 | Amanda Kenney | Nurse Practitioner | 5619 Hugh Dr, Dayton, OH 45459-1618 | 2020-08-18 |
| 1295371177 | Sophia Arnold | Nurse Practitioner | 5242 Rucks Rd, Dayton, OH 45417-8221 | 2019-11-26 |
| 1811548092 | April Nicole Peveto | Nurse Practitioner | 101 S Prairie St, Dayton, TX 77535-2819 | 2019-09-27 |
| 1659925253 | Marian Kimara Doukoure | Nurse Practitioner | 2615 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-31 |
| 1396200523 | Robert Andre De Roziere Jr. | Nurse Practitioner | Maria Joseph Care Center, 4780 Salem Avenue, Dayton, OH 45416 | 2019-02-01 |
| 1255804795 | Kathlene Jacoby | Nurse Practitioner | 7700 Washington Village Dr Ste 230, Dayton, OH 45459-4094 | 2019-01-08 |
| 1952878811 | Kenneth Howard | Nurse Practitioner | 101 S Prairie St Ste D, Dayton, TX 77535-2819 | 2018-10-30 |
| 1053895789 | Lori Bickett | Nurse Practitioner | 33 W Rahn Rd # 102, Dayton, OH 45429-2219 | 2018-09-19 |
| 1720571193 | Shelby Herbst | Nurse Practitioner | 7076 Corporate Way Ste 201, Dayton, OH 45459-4246 | 2018-06-11 |
| Find all providers in DAYTON | ||||
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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.