ALLIANCE PHYSICIAN INC


Address: 4172 Indian Ripple Rd, Suite A, Beavercreek, OH 45440-3286
Phone: 9374313779

ALLIANCE PHYSICIAN INC (NPI# 1548542855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548542855
Entity Type Organization
Organization Name ALLIANCE PHYSICIAN INC
Other Organization Name INTEGRATED MEDICAL GROUP
Practice Address 4172 Indian Ripple Rd
Suite A
Beavercreek
OH 45440-3286
Mailing Address 2110 Leiter Rd
Miamisburg
OH 45342-3660
Practice Telephone 9374313779
Practice Fax Number 9374313776
Mailing Telephone 9373844838
Mailing Fax Number 9373844845
Enumeration Date 2011-09-13
Last Update Date 2011-09-13
Authorized Official Name DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
Authorized Official Telephone 9375583222
Is Organization Subpart Y
Parent Organization Name ALLIANCE PHYSICIAN INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2712872 05

Other Provider/Organization Names

Other Name Type Code
Integrated Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821160243 Alliance Physician Inc Family Medicine 4403 Far Hills Ave, Kettering, OH 45429-2405 2006-11-14
1891077194 Alliance Physician Inc Neurological Surgery 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 2011-09-13
1285916585 Alliance Physician Inc Psychiatry & Neurology 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 2011-09-13
1598047813 Alliance Physician Inc Orthopaedic Surgery 2350 Miami Valley Dr, Suite 320, Centerville, OH 45459-4000 2011-09-13
1275815672 Alliance Physician Inc Internal Medicine 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 2011-09-13
1710269113 Alliance Physician Inc Obstetrics & Gynecology 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 2011-09-13
1669754065 Alliance Physician Inc Physician Assistant 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 2011-09-13
1104108406 Alliance Physician Inc Surgery 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 2011-09-13
1629350020 Alliance Physician Inc Surgery 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 2011-09-13
1679855985 Alliance Physician Inc Urology 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3953 2011-09-13

Office Location

Street Address 4172 INDIAN RIPPLE RD
SUITE A
City BEAVERCREEK
State OH
Zip Code 45440-3286

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235128281 Steven Brian Taylor Psychiatry & Neurology 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 2005-10-20
1780162172 Tamu Swanson Nurse Practitioner 4172 Indian Ripple Rd, Ste A, Beavercreek, OH 45440-3286 2018-07-30
1659762300 Emily Pyles Counselor 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 2015-02-16
1639501489 Phoebe Kitsum Carpenter Nurse Practitioner 4172 Indian Ripple Rd, Suite A, Beavercreek, OH 45440-3285 2013-08-04
1588950539 Glenn R Armstrong Registered Nurse 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 2011-06-28
1366424798 Katherine A Clark Family Medicine 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 2005-11-21
1063494714 Gordon S Walbroehl Family Medicine 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440-3285 2005-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427657568 Jason Michael Knippen Pharmacist 5400 Cornerstone, Centerville, OH 45440 2020-10-20
1184222564 Kimberly Downs Pharmacist 5400 North Cornerstone Blvd, Centerville, OH 45440 2020-10-16
1659902153 Caryn Hoffman Pharmacist 5400 Cornerstone Blvd, Centerville, OH 45440 2020-02-03
1023673100 Katren Elizabeth Clark Psychologist 70 Birch Alley, Suite 240, Dayton, OH 45440 2019-05-05
1649784737 Amy Lynn Winstead Dietitian, Registered 5721 Bigger Road, Kettering, OH 45440 2017-11-28
1104245455 Aprscp, Inc. Hearing Instrument Specialist 3341 East Stroop Road, Kettering, OH 45440 2014-04-15
1457601858 Victoria L Saylor Pharmacy Technician 4480 Indianripple Rd, Dayton, OH 45440 2012-09-12
1528368644 Sara Jankowski Art Therapist 5178 Scarsdale Dr., Kettering, OH 45440 2010-10-22
1356651012 Senior Options Group Home Health 4025 Marshall Road, Kettering, OH 45440 2010-10-15
1417106345 Sheenu Goel Dentist 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 2008-09-16
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760019475 Carehere LLC Family Medicine 3040 Kemp Rd Ste 100, Beavercreek, OH 45431-2644 2020-03-24
1740713254 Kelsey Mayrand Family Medicine 1244 Meadow Bridge Dr Ste 100, Beavercreek, OH 45434-6388 2017-04-11
1760895940 Jonathan A Clifford Family Medicine 2510 Commons Blvd Ste 110, Beavercreek, OH 45431-3821 2014-06-05
1881977171 Alim Vivanco Family Medicine 2641 Hibiscus Way, Apt 312, Beavercreek, OH 45431-2393 2011-09-22
1639465586 Melanie C Raffoul Family Medicine 1911 Old Fairfield Rd Ste 110a, Beavercreek, OH 45432-2754 2011-06-20
1528221157 Green and Guirnalda Family Health Center Family Medicine 3359 Kemp Rd Ste 100, Beavercreek, OH 45431-2565 2008-07-03
1760661367 Matthew D Moore LLC Family Medicine 2141 North Fairfield Road, Suite C, Beavercreek, OH 45431-2579 2007-10-31
1710066030 Jane Diane Morford Family Medicine 1896 Shady Ln, Beavercreek, OH 45432-2063 2006-11-06
1316058894 Joseph Scott Leithold Family Medicine 4235 Indian Ripple Road, Ste 210, Beavercreek, OH 45440 2006-08-31
1437198066 Lisa Renee Vantrease Family Medicine 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 2006-06-06
Find all providers in BEAVERCREEK

Competitor

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City BEAVERCREEK
Zip Code 45440

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Dataset Information

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.

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