KETTERING MEDICAL CENTER (NPI# 1336257872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336257872 |
| Entity Type | Organization |
| Organization Name | KETTERING MEDICAL CENTER |
| Other Organization Name | KETTERING NETWORK HOMECARE |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Mailing Address |
1251 E Dorothy Ln Kettering OH 45419-2106 |
| Practice Telephone | 9372984331 |
| Mailing Telephone | 9372981111 |
| Mailing Fax Number | 9372987210 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | BRENDA KUHN (CNO/VP OF PATIENT CA) |
| Authorized Official Telephone | 9373958832 |
| Is Organization Subpart | Y |
| Parent Organization Name | KETTERING MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1017 (DEPT OF HE | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0573044 | 05 |
| Other Name | Type Code |
|---|---|
| Kettering Network HomeCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511688 | Kettering Medical Center | Pharmacy | 3700 Southern Blvd Ste 105, Kettering, OH 45429-1226 | 2016-11-23 |
| 1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| 1205005063 | Kettering Medical Center | Pharmacy | 4301 Lyons Rd, Miamisburg, OH 45342 | 2008-02-26 |
| 1790859171 | Kettering Medical Center | Pharmacy | 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342 | 2006-11-20 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1467090670 | Kettering Medical Center | Clinic/Center | 450b Washington Jackson Rd Ste 104, Eaton, OH 45320-7601 | 2019-12-18 |
| 1023587045 | Kettering Medical Center | General Acute Care Hospital | 600 W Main St, Troy, OH 45373-2928 | 2018-11-20 |
| 1487016796 | Kettering Medical Center | Pharmacy | 825 N Main St, Springboro, OH 45066-2100 | 2016-03-25 |
| 1366508657 | Kettering Medical Center | Clinic/Center | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-12-29 |
| 1871667253 | Kettering Medical Center | Pharmacy | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-11-20 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1770735268 | Alternate Solutions Homecare 8, LLC | Home Health | 1050 Forrer Blvd Ste 300, Kettering, OH 45420-1472 | 2008-10-16 |
| 1205088697 | Alternate Solutions Homecare 9, LLC | Home Health | 1050 Forrer Blvd Ste 400, Kettering, OH 45420-1472 | 2008-10-16 |
| 1710023635 | Alternate Solutions First, LLC | Home Health | 1251 E Dorothy Ln, Kettering, OH 45419-2106 | 2007-01-29 |
| 1447307582 | Regal Home Care, LLC | Home Health | 1201 E David Rd, Suite 206, Kettering, OH 45429-5761 | 2007-01-04 |
| 1639195332 | Alternate Solutions Homecare of Dayton, LLC | Home Health | 1050 Forrer Blvd, Kettering, OH 45420-1472 | 2006-07-14 |
| 1780957209 | Excel Home Health Care LLC | Home Health | 3411 Office Park Dr, Suite 101, Kettering, OH 45439-2298 | 2012-02-14 |
| 1184933731 | Advanced Medical Equipment Inc. | Home Health | 2655 S Dixie Dr, Kettering, OH 45409-1504 | 2010-09-30 |
| 1265769830 | Senior Service Providers of Ohio, LLC | Home Health | 3809 Wilmington Pike, Suite 100, Kettering, OH 45429-5096 | 2009-11-03 |
| 1659545341 | Assured Health Care | Home Health | 1250 W Dorothy Ln, Kettering, OH 45409-1317 | 2008-04-15 |
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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.