CARESOURCE MANAGEMENT GROUP (NPI# 1477098986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477098986 |
| Entity Type | Organization |
| Organization Name | CARESOURCE MANAGEMENT GROUP |
| Other Organization Name | CARESOURCE |
| Practice Address |
230 N Main St Dayton OH 45402-1263 |
| Practice Telephone | 9372243300 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | PAMELA MORRIS (CEO) |
| Authorized Official Telephone | 9375312201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | Managed Care Organizations | ||
| N | 302R00000X | Health Maintenance Organization | Managed Care Organizations | ||
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| CareSource | Doing Business As Name - Organization |
| Street Address |
230 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157880 | David Michael Hartzell | Pharmacist | 230 N Main St, Dayton, OH 45402-1263 | 2005-07-11 |
| 1013567742 | Danny Carlton Miller Jr. | Pharmacist | 230 N Main St, Dayton, OH 45402-1263 | 2019-09-15 |
| 1558928549 | Samantha Anne Cope | Pharmacist | 230 N Main St, Dayton, OH 45402-1263 | 2019-05-24 |
| 1760900278 | Phuong Thanh Luu | Pharmacist | 230 N Main St, Dayton, OH 45402-1263 | 2017-09-05 |
| 1548791916 | Caresource | Health Maintenance Organization | 230 N Main St, Dayton, OH 45402-1263 | 2017-03-27 |
| 1194107227 | John Bloom | Health Maintenance Organization | 230 N Main St, Dayton, OH 45402-1263 | 2015-06-25 |
| 1710287180 | Terence Paul Torbeck | Family Medicine | 230 N Main St, Dayton, OH 45402-1263 | 2010-11-01 |
| 1962710723 | Craig Smith Thiele | Internal Medicine | 230 N Main St, Dayton, OH 45402-1263 | 2010-09-15 |
| 1285688143 | Michael Adolph | Surgery | 230 N Main St, Dayton, OH 45402-1263 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1528465457 | Continuous Living Inc. | Point of Service | 3516 Harrison Ave Suit B, Cincinnati, OH 45211 | 2014-11-20 |
| 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.