DAYTON INTERVENTIONAL RADIOLOGY LLC (NPI# 1316923915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316923915 |
| Entity Type | Organization |
| Organization Name | DAYTON INTERVENTIONAL RADIOLOGY LLC |
| Practice Address |
3075 Governors Place Blvd Kettering OH 45409-1323 |
| Mailing Address |
Po Box 73917 Cleveland OH 44193-0002 |
| Practice Telephone | 9377653113 |
| Mailing Telephone | 8007422368 |
| Mailing Fax Number | 9372912962 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | MUBIN SYED (PRESIDENT) |
| Authorized Official Telephone | 9374242580 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.003246 | OH | Podiatric Medicine & Surgery Service Providers |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3075 GOVERNORS PLACE BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45409-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699804641 | Michelle Wallace | Nurse Practitioner | 3075 Governors Place Blvd, Suite 210, Kettering, OH 45409-1323 | 2007-03-05 |
| 1467438580 | Mubin Isaac Syed | Radiology | 3075 Governors Place Blvd, Kettering, OH 45409-1323 | 2005-12-20 |
| 1669458261 | Kamal Nanubhai Morar | Radiology | 3075 Governors Place Blvd, Suite 120, Kettering, OH 45409-1323 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467438580 | Mubin Isaac Syed | Radiology | 3075 Governors Place Blvd, Kettering, OH 45409-1323 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301679 | Mi Clinics of America | Radiology | 2950 Glendale Milford Rd Ste 520, Cincinnati, OH 45241-3131 | 2020-06-17 |
| 1033743240 | Vascular Institute of Cleveland, LLC | Radiology | 12575 Rockside Rd Ste 102, Garfield Heights, OH 44125-4571 | 2020-02-26 |
| 1891343315 | Vascular Institute of Columbus, LLC. | Radiology | 6503 E Broad St Ste 200, Columbus, OH 43213-1693 | 2019-08-28 |
| 1336585306 | Wlb Interventional, LLC | Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | 2013-05-17 |
| 1841545233 | Ram Kishore R Gurajala | Radiology | 23305 Chagrin Blvd, 405s, Beachwood, OH 44122-5549 | 2012-07-20 |
| 1578841748 | Bradley Dean Hnatiuk | Radiology | 3412 E Scarborough Rd, Cleveland Heights, OH 44118-3412 | 2011-07-21 |
| 1093021339 | Karthikeyan Damodharan | Radiology | Hb6 Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2010-08-24 |
| 1013170414 | Kiran Polisetty Sekhar | Radiology | 1563 E Dorothy Ln Ste 204, Dayton, OH 45429-3839 | 2008-07-07 |
| 1801075395 | Praveen K Malhotra Md Inc | Radiology | 531 S Eastown Road, Lima, OH 45805 | 2007-10-31 |
| 1104025972 | Khoury Surgical Group, Inc. | Radiology | 51339 National Rd, Saint Clairsville, OH 43950-9119 | 2007-07-12 |
| 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.