FIVE RIVERS HEALTH CENTERS (NPI# 1093004707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093004707 |
| Entity Type | Organization |
| Organization Name | FIVE RIVERS HEALTH CENTERS |
| Other Organization Name | MEDICAL SURGICAL HEALTH CENTER |
| Practice Address |
725 S Ludlow St Dayton OH 45402-2610 |
| Mailing Address |
3535 Salem Ave Suite #100 Dayton OH 45406-2642 |
| Practice Telephone | 9372082004 |
| Practice Fax Number | 9372088828 |
| Mailing Telephone | 9377346846 |
| Mailing Fax Number | 9372768245 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MS. GINA MAKEBA MCFARLANE-EL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9377346841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medical Surgical Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302188 | Five Rivers Health Centers | Counselor | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-09-30 |
| 1730722570 | Five Rivers Health Centers | Clinic/Center | 1923 W 3rd St, Dayton, OH 45417-2565 | 2019-10-24 |
| 1982102919 | Five Rivers Health Centers | Counselor | 3908 Wilmington Pike, Dayton, OH 45429-5053 | 2018-01-24 |
| 1962840884 | Five Rivers Health Centers | Clinic/Center | 30 E Apple St Ste L204, Dayton, OH 45409 | 2013-06-13 |
| 1902169329 | Five Rivers Health Centers | Clinic/Center | 161 Wyoming St, Dayton, OH 45409-2741 | 2012-06-20 |
| 1366705980 | Five Rivers Health Centers | Clinic/Center | 1 Apple Street, Dayton, OH 45409 | 2012-06-19 |
| 1871190728 | Five Rivers Health Centers | Clinic/Center | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-10-05 |
| 1851934525 | Five Rivers Health Centers | Counselor | 1923 W 3rd St, Dayton, OH 45417-2565 | 2019-10-24 |
| 1548803752 | Five Rivers Health Centers | Clinic/Center | 3594 N Snyder Rd, Dayton, OH 45426-3835 | 2019-10-21 |
| 1306489521 | Five Rivers Health Centers | Counselor | 3594 N Snyder Rd, Dayton, OH 45426-3835 | 2019-10-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIVE RIVERS HEALTH CENTERS | 2261 Philadelphia Dr Ste 200, Dayton, OH 45406-1814 |
| Street Address |
725 S LUDLOW ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295717023 | Nicole Noel Crase | Pharmacist | 725 S Ludlow St, Dayton, OH 45402-2610 | 2005-11-17 |
| 1164030797 | Alisha Bias | Pharmacist | 725 S Ludlow St, Dayton, OH 45402-2610 | 2020-07-20 |
| 1265050843 | Kelsie B Ledford | Pharmacist | 725 S Ludlow St, Dayton, OH 45402-2610 | 2020-07-09 |
| 1265063382 | Nicole Charisse Robinson | Social Worker | 725 S Ludlow St, Dayton, OH 45402-2610 | 2020-01-28 |
| 1083273346 | Kristina Hirt | Pharmacy | 725 S Ludlow St, Dayton, OH 45402-2610 | 2019-06-11 |
| 1689145013 | Ebenezer Akoi Asiedu | Nurse Practitioner | 725 S Ludlow St, Dayton, OH 45402-2610 | 2018-12-11 |
| 1760964068 | Kelli Renee Richards | Registered Nurse | 725 S Ludlow St, Dayton, OH 45402-2610 | 2018-09-04 |
| 1245692052 | Ramona Lynn Langston | Registered Nurse | 725 S Ludlow St, Dayton, OH 45402-2610 | 2016-03-22 |
| 1275909061 | Rachel Durrant | Nurse Practitioner | 725 S Ludlow St, Dayton, OH 45402-2610 | 2015-08-14 |
| 1164836649 | Janet Weaver | Registered Nurse | 725 S Ludlow St, Dayton, OH 45402-2610 | 2014-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662105 | Michele L. Flack, D.o., LLC | Internal Medicine | 3718 Whisper Creek Dr, Dayton, OH 45414-2570 | 2019-01-09 |
| 1851755623 | Yousef B. A. Mohamed | Internal Medicine | South Dayton Acute Care Consultants, Inc, 33 W Rahn Rd, Dayton, OH 45429-2219 | 2016-04-07 |
| 1427420256 | Hospitalist Md Inc | Internal Medicine | 10708 Falls Creek Ln, Dayton, OH 45458-6062 | 2015-10-20 |
| 1811316565 | Eric Kirby | Internal Medicine | 30 E Apple St # 3300, Dayton, OH 45409-2939 | 2014-04-09 |
| 1619394665 | Mohammad M Losta | Internal Medicine | 2200 Philadelphia Dr Ste 441, Dayton, OH 45406-1840 | 2014-03-27 |
| 1316378003 | Barrett Henry Bolton | Internal Medicine | 1608 Catalpa Dr, Dayton, OH 45406-5946 | 2013-12-05 |
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1295026607 | David Dukhyun Moh | Internal Medicine | 9251 Great Lakes Cir, Dayton, OH 45458-3677 | 2011-04-20 |
| 1831495266 | Kenechi Anikwe Obetta | Internal Medicine | 4750 30 E Apple St, Suite 6250, Dayton, OH 45409-2939 | 2011-02-02 |
| 1477870178 | Charles William Oberer IIi | Internal Medicine | 425 W Grand Ave Ste 2002, Dayton, OH 45405-4722 | 2010-04-21 |
| 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.