AJAY GOENKA (NPI# 1669726097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669726097 |
| Entity Type | Individual |
| Full Name | AJAY GOENKA |
| Credential | MD |
| Practice Address |
1 Childrens Plz Dayton OH 45404 |
| Mailing Address |
1 Childrens Plz Dayton OH 45404-1873 |
| Practice Telephone | 9376413699 |
| Mailing Telephone | 9376414000 |
| Mailing Fax Number | 9376414500 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
35.129514 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356617765 | Irma Liezl Reyes | Psychiatry & Neurology | 1 Childrens Plz, Dayton, OH 45404 | 2012-03-29 |
| 1548362825 | Gogi Kumar | Psychiatry & Neurology | One Children's Plaza, The Children's Medical Center, Dayton, OH 45404-1815 | 2006-09-05 |
| 1225094543 | Daniel J Lacey | Psychiatry & Neurology | One Children's Plaza, Dayton, OH 45404 | 2006-04-25 |
| 1215902952 | Debra M O'donnell | Psychiatry & Neurology | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023387875 | Henry B Wessel | Psychiatry & Neurology | 16204 E State Route 37, Sunbury, OH 43074-8950 | 2011-12-23 |
| 1477728517 | Ahsan Moosa Naduvil Valappil | Psychiatry & Neurology | 2680 N Moreland Blvd, Apt 605, Cleveland, OH 44120-1472 | 2008-04-29 |
| 1881777662 | Tina Mathias Narayan | Psychiatry & Neurology | 7495 State Rd Suite 355, Outpatient Services Anderson Ml 6003, Cincinnati, OH 45255 | 2006-10-23 |
| 1265512669 | Stephen Maricich | Psychiatry & Neurology | 10900 Euclid Avenue, Case Western Reserve University Som Room E750i, Cleveland, OH 44106 | 2006-10-17 |
| 1205869013 | Marielle Kabbouche Samaha | Psychiatry & Neurology | 3333 Burnet Ave Ml 2015, Cincinnati, OH 45229-3026 | 2006-07-08 |
| 1912999350 | Michael A Nagel | Psychiatry & Neurology | 3909 Woodley Road #100, Toledo, OH 43606-4231 | 2005-08-22 |
| 1457748394 | David Ritter | Psychiatry & Neurology | 3333 Burnet Avenue, Ml 2015, Cincinnati, OH 45229-3039 | 2015-04-17 |
| 1881094142 | David Francois-xavier Dufresne | Psychiatry & Neurology | 9500 Euclid Ave, Epilepsy Center, Cleveland, OH 44195-0001 | 2014-08-23 |
| 1942640842 | Stephen Steiner | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106 | 2013-06-25 |
| 1417391582 | Susan Lee Fong | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2013-04-19 |
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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.