CARO PEDIATRIC CENTER (NPI# 1093084584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093084584 |
| Entity Type | Organization |
| Organization Name | CARO PEDIATRIC CENTER |
| Practice Address |
1435 Shoup Mill Rd Dayton OH 45414-3978 |
| Practice Telephone | 9372753488 |
| Practice Fax Number | 9372753371 |
| Mailing Telephone | 9372753488 |
| Mailing Fax Number | 9372753371 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | MS. STACY L GREEN (OFFICE MANAGER) |
| Authorized Official Telephone | 9372758559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35-056515-C | OH | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 34-002567 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0535326 | 05 | |
| OH | 0696180 | 05 |
| Street Address |
1435 SHOUP MILL RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497237754 | Laura Nicole Churchman | Nurse Practitioner | 1435 Shoup Mill Rd, Dayton, OH 45414-3978 | 2018-09-04 |
| 1235651092 | Patricia Haley | Physician Assistant | 1435 Shoup Mill Rd, Dayton, OH 45414-3978 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619111093 | Julia Ann Lamb | Pediatrics | 1323 W. 3rd Street, Dayton, OH 45402 | 2009-04-29 |
| 1467610824 | William Joseph Dituro | Pediatrics | 10 Chelsea Ct, Dayton, NJ 08810-1329 | 2008-06-01 |
| 1326206467 | Ob-gyn and Pediatrics Inc | Pediatrics | 4501 Powell Rd, Dayton, OH 45424-5840 | 2008-05-27 |
| 1437327723 | Chau Quynh Tran | Pediatrics | 601 Valley Street, Dayton, OH 45404-1815 | 2008-02-20 |
| 1477615110 | Himanshu A. Patel. Md. Pa | Pediatrics | 401 Ridge Rd Ste 2, Dayton, NJ 08810-3300 | 2006-12-15 |
| 1952404105 | Stephen Thomas Mathai | Pediatrics | 25 Thorpe Dr, Dayton, OH 45420-1823 | 2006-09-06 |
| 1346285129 | Maria T. Nanagas | Pediatrics | 730c Valley St, Dayton, OH 45404-1958 | 2006-06-17 |
| 1013959428 | Roberta Anne Dilego | Pediatrics | 730 Valley St, Dayton, OH 45404-1958 | 2006-06-11 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1811953052 | Premier Integrated Medical Assoc Ltd | Pediatrics | 1152 W 3rd St, Dayton, OH 45402-6812 | 2006-04-25 |
| 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.