JCC, LLC (NPI# 1144704891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144704891 |
| Entity Type | Organization |
| Organization Name | JCC, LLC |
| Practice Address |
1010 Woodman Dr Dayton OH 45432-1400 |
| Mailing Address |
4760 Richmond Rd Ste 300 Cleveland OH 44128-5979 |
| Practice Telephone | 9374383384 |
| Practice Fax Number | 9374367394 |
| Mailing Telephone | 2167658390 |
| Mailing Fax Number | 2167658392 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | KIMBERLY PAUL (MANAGER) |
| Authorized Official Telephone | 2167658390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PDI WOODMAN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1144466293 | Jcc, LLC | Clinic/Center | 2591 Miamisburg Centerville Rd Ste 102, Centerville, OH 45459-3706 | 2008-12-19 |
| 1821338336 | Jcc, LLC | Clinic/Center | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2013-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JCC, LLC | 201 14th Street, Suite 200, Glenwood Springs, CO 81601 |
| Street Address |
1010 WOODMAN DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45432-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468320 | Christian Mark Hoffman | Physical Therapist | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2005-06-24 |
| 1265032437 | Caitlin Harpring | Physical Therapist | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2020-10-27 |
| 1811504798 | Christopher Mancuso | Physical Therapist | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2020-09-25 |
| 1932664752 | Heidi M. Schindler | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2019-02-06 |
| 1952804437 | Sherry M Arnold | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-03-12 |
| 1912435629 | Mariah Rae Orr | Physician Assistant | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2017-05-24 |
| 1154867794 | Jacqueline Horne | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2017-01-06 |
| 1669836904 | Elizabeth Gminski | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2016-04-13 |
| 1376907105 | Shakirat Adebola Bankole | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2016-04-07 |
| 1770957904 | Erin Lynn Coyle | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2015-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821338336 | Jcc, LLC | Clinic/Center | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2013-02-20 |
| 1770742728 | Vanguard Imaging Partners LLC | Clinic/Center | 1525 E Stroop Rd, Dayton, OH 45429-5065 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982107975 | Van Wert Medical Services, Ltd. | Clinic/Center | 214 Towne Center Blvd, Van Wert, OH 45891 | 2018-03-15 |
| 1770099798 | Mri Solutions | Clinic/Center | 4424 Aicholtz Rd Ste D, Cincinnati, OH 45245-1530 | 2017-12-28 |
| 1144466293 | Jcc, LLC | Clinic/Center | 2591 Miamisburg Centerville Rd Ste 102, Centerville, OH 45459-3706 | 2008-12-19 |
| 1578697181 | Med Tel International Corporation | Clinic/Center | 250 Executive Dr, #c, Marion, OH 43302-6284 | 2007-03-15 |
| 1548352818 | Radiology Specialists Ltd. LLC | Clinic/Center | 4161 Bridgewater Parkway, Stow, OH 44224 | 2006-09-28 |
| 1194733246 | Woodland Diagnostic Imaging LLC | Clinic/Center | 5005 Whipple Ave Nw, Canton, OH 44718 | 2006-08-04 |
| 1922022698 | Open Access Mri, LLC | Clinic/Center | 109 S Fayette St, Fayette, OH 43521-9411 | 2006-07-27 |
| 1225061526 | Vanguard Imaging Partners, LLC | Clinic/Center | 2619 Commons Blvd, Beavercreek, OH 45431-3817 | 2006-07-09 |
| 1194753640 | World Class Medical Imaging | Clinic/Center | 1735 West Main Street, Troy, OH 45373-2301 | 2006-06-30 |
| 1063468460 | North Coast Imaging, LLC | Clinic/Center | 1303 W State St, Fremont, OH 43420-2016 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
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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.