DAYTON CHILDREN'S HOSPITAL (NPI# 1073848321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073848321 |
Entity Type | Organization |
Organization Name | DAYTON CHILDREN'S HOSPITAL |
Practice Address |
3333 West Tech Road Miamisburg OH 45342 |
Mailing Address |
One Children's Plaza Dayton OH 45404-1898 |
Practice Telephone | 9376415725 |
Practice Fax Number | 9376416115 |
Mailing Telephone | 9376413000 |
Enumeration Date | 2009-10-05 |
Last Update Date | 2019-05-10 |
Authorized Official Name | MR. CHRIS E. BERGMAN (VP/CHIEF FINANCIAL OFFICER/ACCOUNTI) |
Authorized Official Telephone | 9376413338 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0465509 | 05 | |
OH | MEDICARE | 363306 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
1407377500 | Dayton Children's Hospital | General Acute Care Hospital | 1 Childrens Plz, Dayton, OH 45404-1873 | 2017-06-29 |
1366994584 | Dayton Children's Hospital | General Acute Care Hospital | 3333 West Tech Road, Miamisburg, OH 45342-0817 | 2016-11-04 |
1730392309 | Dayton Children's Hospital | Nurse Practitioner | 3333 W Tech Rd, Miamisburg, OH 45342-0955 | 2007-05-08 |
1669546081 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-11-17 |
1952480030 | Dayton Children's Hospital | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-11-02 |
1457379448 | Dayton Children's Hospital | General Acute Care Hospital | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-07-17 |
Street Address |
3333 WEST TECH ROAD |
City | MIAMISBURG |
State | OH |
Zip Code | 45342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366994584 | Dayton Children's Hospital | General Acute Care Hospital | 3333 West Tech Road, Miamisburg, OH 45342-0817 | 2016-11-04 |
1366999377 | Dayton Children's Hospital-south Campus | Pharmacy | 3333 West Tech Road, Miamisburg, OH 45342-0000 | 2016-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
Find all providers in zip 45342 |
Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
A pediatrician who has special qualifications to manage emergencies in infants and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962547935 | Richard T Strait | Pediatrics | 3333 W Tech Rd, Miamisburg, OH 45342-0955 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043553001 | Nathan Scott Jamieson | Pediatrics | Nch 700 Children's Drive, Columbus, OH 43205 | 2013-03-28 |
1104199884 | Roy M Kulick | Pediatrics | 529 Cochise Ct, Cincinnati, OH 45215-2519 | 2012-02-11 |
1689854051 | Advanced Pem Care | Pediatrics | 3577 N Shore Dr, Akron, OH 44333-8331 | 2007-11-13 |
1518185651 | Judith C Bausher | Pediatrics | 2093 Beech Grove Dr, Cincinnati, OH 45233-4915 | 2007-04-23 |
1811044167 | Scott M Bouton | Pediatrics | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2007-01-05 |
1609882125 | Seema R Bhatt | Pediatrics | 3333 Burnet Ave., Ml 2008, Cincinnati, OH 45229-3039 | 2006-08-01 |
1841284247 | John L Fortney | Pediatrics | 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | 2005-08-31 |
1952301715 | David J Sansoterra | Pediatrics | 6505 Market St, Boardman, OH 44512-3457 | 2005-07-22 |
1639603525 | Jeffrey Scott Lim | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2017-04-18 |
1457883423 | Karen Allen | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2017-03-29 |
Find all providers with the same taxonomy |
City | MIAMISBURG |
Zip Code | 45342 |
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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.