BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC (NPI# 1588759609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588759609 |
| Entity Type | Organization |
| Organization Name | BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC |
| Practice Address |
4350 Malsbary Rd Suite 201 Cincinnati OH 45242-5621 |
| Practice Telephone | 5139842100 |
| Practice Fax Number | 5139842155 |
| Mailing Telephone | 5139842100 |
| Mailing Fax Number | 5139842155 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | DR. RANDALL DAVID STASTNY (OWNER) |
| Authorized Official Telephone | 5139842100 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
30-1-8892 | OH | Ambulatory Health Care Facilities |
| Street Address |
4350 MALSBARY RD SUITE 201 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416808 | Oncology Hematology Care, Inc. | Internal Medicine | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-06-09 |
| 1184833923 | Oncology Hematology Care Pharmacy, LLC | Pharmacy | 4350 Malsbary Rd, Suite 203, Cincinnati, OH 45242-5665 | 2007-05-21 |
| 1114058013 | Oncology Hematology Care, Inc | Pharmacy | 4350 Malsbary Rd, Suite 205, Cincinnati, OH 45242-5665 | 2007-03-09 |
| 1851492003 | David Pratt | Radiology | 4350 Malsbary Rd, Cincinnati, OH 45242-5665 | 2006-09-26 |
| 1124083407 | Andrew S Guinigundo | Registered Nurse | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2006-04-19 |
| 1093709297 | Patrick J Ward | Internal Medicine | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-09-02 |
| 1518951797 | Nancy L Simon | Obstetrics & Gynecology | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-09-02 |
| 1578557864 | David M Waterhouse | Internal Medicine | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-09-01 |
| 1336133685 | John F Sacco | Radiology | 4350 Malsbary Rd, Cincinnati, OH 45242-5665 | 2005-09-01 |
| 1740274117 | David L Kirlin | Internal Medicine | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1376180562 | Cincinnati Dental Group LLC | Clinic/Center | 4605 E Galbraith Rd Ste 100, Cincinnati, OH 45236-2888 | 2019-12-06 |
| 1477034809 | Wessel Periodontics, LLC | Clinic/Center | 8221 Cornell Rd Ste 430, Cincinnati, OH 45249-2276 | 2018-08-23 |
| 1417487646 | Real Dental LLC | Clinic/Center | 3012 Glenmore Ave Ste 206, Cincinnati, OH 45238-2258 | 2017-06-20 |
| 1184161507 | Queen City Dental LLC | Clinic/Center | 7764 Colerain Ave Ste A, Cincinnati, OH 45239-4504 | 2017-01-24 |
| 1255540381 | Maria Chernyak Dmd,inc | Clinic/Center | 10700 Montgomery Rd Ste 220, Cincinnati, OH 45242-3260 | 2007-05-22 |
| 1497881163 | Spencer L. Fried, D.d.s., Inc | Clinic/Center | 800 Compton Rd., Suite 22, Cincinnati, OH 45231-3826 | 2007-02-26 |
| 1023156288 | Robert H Efkeman Dmd Inc | Clinic/Center | 1551 Marlowe Ave, Cincinnati, OH 45224 | 2007-02-01 |
| 1265039465 | Fresh Dental | Clinic/Center | 11907 Montgomery Rd, Cincinnati, OH 45249-1794 | 2020-10-01 |
| 1952918443 | Northside Dental Ryan Durner, Dds, LLC | Clinic/Center | 4254 Hamilton Ave, Cincinnati, OH 45223-2048 | 2020-09-28 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45242 |
Please comment or provide details below to improve the information on BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC.
| 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.