ALLIANCE PHYSICIANS INC (NPI# 1306128608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306128608 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIANS INC |
| Other Organization Name | SOUTH DAYTON UROLOGY |
| Practice Address |
10 Southmoor Cir Nw Kettering OH 45429-2486 |
| Mailing Address |
10050 Innovation Dr Suite 200 Miamisburg OH 45342-4931 |
| Practice Telephone | 9372941489 |
| Practice Fax Number | 9372976468 |
| Mailing Telephone | 9375583208 |
| Mailing Fax Number | 9375583247 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | TIMOTHY Y KO (CFO) |
| Authorized Official Telephone | 9375583223 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE PHYSICIAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0059480 | 05 |
| Other Name | Type Code |
|---|---|
| South Dayton Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772887 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 7700 Washngton Vlg Dr, Suite 200, Centerville, OH 45459-4094 | 2014-09-08 |
| 1437125572 | Alliance Physicians Inc | Clinical Neuropsychologist | 10050 Innovation Dr, Suite 200, Miamisburg, OH 45342-4931 | 2006-02-28 |
| 1568855104 | Alliance Physicians Inc | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2015-03-06 |
| 1023409257 | Alliance Physicians Inc | Family Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2015-02-10 |
| 1922409622 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 7700 Washington Village Dr, Suite 200, Centerville, OH 45459-4094 | 2014-09-12 |
| 1952714420 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 50 N Progress Dr, Xenia, OH 45385-2666 | 2014-06-03 |
| 1639582182 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 3371 Kemp Rd, Beavercreek, OH 45431-2514 | 2014-06-03 |
| 1447673561 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 5692 Far Hills Ave, Suite 1, Kettering, OH 45429-2239 | 2014-01-24 |
| 1457781221 | Alliance Physicians Inc | Surgery | 3737 Southern Blvd, Suite 2000, Kettering, OH 45429-1262 | 2013-11-15 |
| 1851728810 | Alliance Physicians Inc | Internal Medicine | 1010 Cereal Ave, Suite 100, Hamilton, OH 45013-2784 | 2013-10-04 |
| Street Address |
10 SOUTHMOOR CIR NW |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330676 | Edward Cornelious Jacobs | Specialist | 10 Southmoor Cir Nw, Kettering, OH 45429-2486 | 2005-07-18 |
| 1275032914 | Bradley David Boothe | Nurse Practitioner | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2018-02-08 |
| 1285147827 | Tiarah Alisha Todd | Nurse Practitioner | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2017-11-06 |
| 1811022619 | South Dayton Urological Associates | Urology | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2007-02-22 |
| 1891876470 | Safwat K. Zaki | Urology | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2006-10-18 |
| 1346321965 | Sammy A. Hamway | Urology | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2006-10-18 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
| 1225223043 | David A Hadley | Urology | 3737 Southern Blvd Ste 4200, Kettering, OH 45429-0135 | 2007-09-14 |
| 1215298104 | Daniel Thomas Pucheril | Urology | 3737 Southern Blvd Ste 4200, Kettering, OH 45429-0135 | 2012-06-06 |
| 1992956296 | Kettering Urology Institute Inc | Urology | 3533 Southern Blvd, Ste 5800, Kettering, OH 45429-1264 | 2008-10-06 |
| 1811022619 | South Dayton Urological Associates | Urology | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2007-02-22 |
| 1891876470 | Safwat K. Zaki | Urology | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2006-10-18 |
| 1346321965 | Sammy A. Hamway | Urology | 10 Southmoor Cir Nw, Kettering, OH 45429-2444 | 2006-10-18 |
| 1275639908 | Male Reproductive Medicine of Southwest Ohio | Urology | 5692 Far Hills Ave, Kettering, OH 45429-2239 | 2006-09-16 |
| 1376508465 | Rafael Cruz | Urology | 3533 Southern Blvd, Kettering, OH 45429-1264 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
| 1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
| 1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
| 1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
| 1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
| 1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
| 1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
| 1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALLIANCE PHYSICIANS INC.
| 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.