MED CLINIC OF DAYTON (NPI# 1467982561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467982561 |
| Entity Type | Organization |
| Organization Name | MED CLINIC OF DAYTON |
| Practice Address |
580 Lincoln Park Blvd Ste 100a Kettering OH 45429-3474 |
| Mailing Address |
5821 Southwest Fwy Ste 550 Houston TX 77057-7531 |
| Practice Telephone | 9378538580 |
| Practice Fax Number | 9378344410 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | EMMA CULL (COO) |
| Authorized Official Telephone | 6784695011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
580 LINCOLN PARK BLVD STE 100A |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-3474 |
| 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 | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922538024 | Ohio Medical Clinic | Rehabilitation Practitioner | 580 Lincoln Park Blvd Ste 100, Kettering, OH 45429-3490 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554064 | Nicole Ann Macke | Rehabilitation Practitioner | 7811 Locust Ln, Cincinnati, OH 45243-1909 | 2019-02-12 |
| 1417413725 | Emily Birnbrich | Rehabilitation Practitioner | 349 Saddle Path Ln N, Pataskala, OH 43062-8930 | 2019-02-12 |
| 1053876128 | Jane Marie Kubala | Rehabilitation Practitioner | 13982 State Route 550, Fleming, OH 45729-5048 | 2019-02-04 |
| 1518422674 | Ashley Lucille Tschudy | Rehabilitation Practitioner | 4560 Moravian Church Rd Se, New Philadelphia, OH 44663-6872 | 2019-02-04 |
| 1497210728 | Jalea Caldwell | Rehabilitation Practitioner | 110 Lake Front Rd, Oak Hill, OH 45656-9326 | 2019-01-31 |
| 1376007153 | Courtney Shane Wears | Rehabilitation Practitioner | 28600 Torch Rd, Coolville, OH 45723-9024 | 2019-01-25 |
| 1467982579 | Med Clinic of Columbus | Rehabilitation Practitioner | 500 E Main St Ste 105a, Columbus, OH 43215-5369 | 2017-06-13 |
| 1245646165 | Serenity Brown | Rehabilitation Practitioner | 785 Elizabeth Ave, Columbus, OH 43227-1038 | 2014-07-11 |
| 1962827873 | Brian M Celusnak | Rehabilitation Practitioner | 30 Severance Cir, Apt. 705, Cleveland Heights, OH 44118-1531 | 2014-02-28 |
| 1245655414 | Brittany Fleming | Rehabilitation Practitioner | 6085 Emerald Pkwy, Dublin, OH 43016-3269 | 2014-02-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MED CLINIC OF DAYTON.
| 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.