MARY ELIZABETH RODES (NPI# 1215142260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215142260 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH RODES |
| Credential | M.D. |
| Practice Address |
2365 Lakeview Dr Suite C Beavercreek OH 45431-4600 |
| Practice Telephone | 9377056287 |
| Practice Fax Number | 9379129595 |
| Mailing Telephone | 9377056287 |
| Mailing Fax Number | 9379129595 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 88956 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEA | FR0117033 | 01 |
| OH | 2766378 | 05 | |
| OH | PRACTICE TAX ID # | 311248312 | 01 |
| Street Address |
2365 LAKEVIEW DR SUITE C |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471692 | Ashraf Koraym | Internal Medicine | 2365 Lakeview Dr, Suite D, Beavercreek, OH 45431-4600 | 2005-10-13 |
| 1376918821 | Cardiologists of Greene County, LLC | Clinic/Center | 2365 Lakeview Dr, Beavercreek, OH 45431-4600 | 2015-12-09 |
| 1710314901 | Beavercreek Family Health Center LLC | Family Medicine | 2365 Lakeview Dr, Suite C, Beavercreek, OH 45431-4600 | 2013-10-02 |
| 1700038825 | Laurie Walker Hoff | Counselor | 2365 Lakeview Dr, Suite B, Beavercreek, OH 45431-4600 | 2008-10-21 |
| 1619146859 | Cardiologists of Greene County LLC | Internal Medicine | 2365 Lakeview Dr, Suite D, Beavercreek, OH 45431-4600 | 2008-02-21 |
| 1003970591 | Kelly Ann Predieri | Psychologist | 2365 Lakeview Dr, Suite B, Beavercreek, OH 45431-4600 | 2006-12-20 |
| 1386600112 | Amanda Bell | Family Medicine | 2365 Lakeview Dr, Ste C, Beavercreek, OH 45431-4600 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019475 | Carehere LLC | Family Medicine | 3040 Kemp Rd Ste 100, Beavercreek, OH 45431-2644 | 2020-03-24 |
| 1740713254 | Kelsey Mayrand | Family Medicine | 1244 Meadow Bridge Dr Ste 100, Beavercreek, OH 45434-6388 | 2017-04-11 |
| 1760895940 | Jonathan A Clifford | Family Medicine | 2510 Commons Blvd Ste 110, Beavercreek, OH 45431-3821 | 2014-06-05 |
| 1881977171 | Alim Vivanco | Family Medicine | 2641 Hibiscus Way, Apt 312, Beavercreek, OH 45431-2393 | 2011-09-22 |
| 1639465586 | Melanie C Raffoul | Family Medicine | 1911 Old Fairfield Rd Ste 110a, Beavercreek, OH 45432-2754 | 2011-06-20 |
| 1528221157 | Green and Guirnalda Family Health Center | Family Medicine | 3359 Kemp Rd Ste 100, Beavercreek, OH 45431-2565 | 2008-07-03 |
| 1760661367 | Matthew D Moore LLC | Family Medicine | 2141 North Fairfield Road, Suite C, Beavercreek, OH 45431-2579 | 2007-10-31 |
| 1710066030 | Jane Diane Morford | Family Medicine | 1896 Shady Ln, Beavercreek, OH 45432-2063 | 2006-11-06 |
| 1316058894 | Joseph Scott Leithold | Family Medicine | 4235 Indian Ripple Road, Ste 210, Beavercreek, OH 45440 | 2006-08-31 |
| 1437198066 | Lisa Renee Vantrease | Family Medicine | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 | 2006-06-06 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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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.