ALLIANCE PHYSICIAN INC (NPI# 1275815672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275815672 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIAN INC |
| Other Organization Name | CANCER SPECIALISTS OF GREATER DAYTON |
| Practice Address |
3737 Southern Blvd Suite 3200 Kettering OH 45429-1286 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9375583500 |
| Practice Fax Number | 9375583507 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 9375583222 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE PHYSICIAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712872 | 05 |
| Other Name | Type Code |
|---|---|
| Cancer Specialists of Greater Dayton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821160243 | Alliance Physician Inc | Family Medicine | 4403 Far Hills Ave, Kettering, OH 45429-2405 | 2006-11-14 |
| 1891077194 | Alliance Physician Inc | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 | 2011-09-13 |
| 1285916585 | Alliance Physician Inc | Psychiatry & Neurology | 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 | 2011-09-13 |
| 1598047813 | Alliance Physician Inc | Orthopaedic Surgery | 2350 Miami Valley Dr, Suite 320, Centerville, OH 45459-4000 | 2011-09-13 |
| 1710269113 | Alliance Physician Inc | Obstetrics & Gynecology | 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 | 2011-09-13 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679855985 | Alliance Physician Inc | Urology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3953 | 2011-09-13 |
| 1568744969 | Alliance Physician Inc | Family Medicine | 38 Southmoor Cir Ne, Suite B, Kettering, OH 45429-2443 | 2011-09-13 |
| Street Address |
3737 SOUTHERN BLVD SUITE 3200 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669483152 | Daniel Joseph Dunaway | Orthopaedic Surgery | 3737 Southern Blvd, Suite 2100, Kettering, OH 45429-1225 | 2006-08-10 |
| 1760034243 | Emily C Kahlig | Physician Assistant | 3737 Southern Blvd, Ste 2100, Kettering, OH 45429-1285 | 2019-07-15 |
| 1821519687 | Seth Clayton Foote | Physician Assistant | 3737 Southern Blvd, Kettering, OH 45429-1262 | 2017-07-02 |
| 1801242755 | Amy Youst | Pharmacist | 3737 Southern Blvd, Kettering, OH 45429-1262 | 2016-05-10 |
| 1013381037 | Erica Lee Ertel | Nurse Practitioner | 3737 Southern Blvd, Suite 2000, Kettering, OH 45429-1262 | 2015-11-16 |
| 1457781221 | Alliance Physicians Inc | Surgery | 3737 Southern Blvd, Suite 2000, Kettering, OH 45429-1262 | 2013-11-15 |
| 1710269113 | Alliance Physician Inc | Obstetrics & Gynecology | 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1811279219 | Alliance Physician Inc | Plastic Surgery | 3737 Southern Blvd, Suite 2000b, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679878060 | Alliance Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 3737 Southern Blvd, Suite 2100, Kettering, OH 45429-1262 | 2011-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558540674 | Ashantice Kenyana Higgins | Internal Medicine | 3700 Southern Blvd, Suite 401, Kettering, OH 45429-1226 | 2007-10-25 |
| 1457341760 | Alejandro R Calvo | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 | 2005-10-27 |
| 1568855104 | Alliance Physicians Inc | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2015-03-06 |
| 1831451129 | Susan Bal | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2012-06-12 |
| 1568743292 | Alliance Physician Inc | Internal Medicine | 3533 Southern Blvd, Suite 3750, Kettering, OH 45429-1264 | 2011-09-08 |
| 1255612974 | Alliance Physician Inc | Internal Medicine | 3535 Southern Blvd, 4th Floor, Kettering, OH 45429-1221 | 2011-09-08 |
| 1295929875 | Emily Jo Franks | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-08-28 |
| 1356464614 | Brandon J Cutler | Internal Medicine | 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | 2007-04-09 |
| 1407806474 | Gary L Nicholson | Internal Medicine | 3120 Governors Place Blvd, Kettering, OH 45409-1328 | 2006-05-11 |
| 1760432769 | Satheesh K. Kathula | Internal Medicine | 3120 Governors Place Blvd, Kettering, OH 45409 | 2006-05-11 |
| Find all providers in KETTERING | ||||
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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.