ALLIANCE PHYSICIAN INC (NPI# 1710269113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710269113 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIAN INC |
| Other Organization Name | WOMEN'S CANCER CENTER AT KETTERING |
| Practice Address |
3737 Southern Blvd Suite 3100 Kettering OH 45429-1286 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9373958020 |
| Practice Fax Number | 9373958054 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712872 | 05 |
| Other Name | Type Code |
|---|---|
| Women's Cancer Center at Kettering | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1568744969 | Alliance Physician Inc | Family Medicine | 38 Southmoor Cir Ne, Suite B, Kettering, OH 45429-2443 | 2011-09-13 |
| Street Address |
3737 SOUTHERN BLVD SUITE 3100 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669483152 | Daniel Joseph Dunaway | Orthopaedic Surgery | 3737 Southern Blvd, Suite 2100, Kettering, OH 45429-1225 | 2006-08-10 |
| 1760034243 | Emily C Kahlig | Physician Assistant | 3737 Southern Blvd, Ste 2100, Kettering, OH 45429-1285 | 2019-07-15 |
| 1821519687 | Seth Clayton Foote | Physician Assistant | 3737 Southern Blvd, Kettering, OH 45429-1262 | 2017-07-02 |
| 1801242755 | Amy Youst | Pharmacist | 3737 Southern Blvd, Kettering, OH 45429-1262 | 2016-05-10 |
| 1013381037 | Erica Lee Ertel | Nurse Practitioner | 3737 Southern Blvd, Suite 2000, Kettering, OH 45429-1262 | 2015-11-16 |
| 1457781221 | Alliance Physicians Inc | Surgery | 3737 Southern Blvd, Suite 2000, Kettering, OH 45429-1262 | 2013-11-15 |
| 1275815672 | Alliance Physician Inc | Internal Medicine | 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1811279219 | Alliance Physician Inc | Plastic Surgery | 3737 Southern Blvd, Suite 2000b, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679878060 | Alliance Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 3737 Southern Blvd, Suite 2100, Kettering, OH 45429-1262 | 2011-01-18 |
| Find all providers in the same location | ||||
| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487914552 | Stuart Richard Pierce | Obstetrics & Gynecology | 500 Thomas Ln Ste 4b, Columbus, OH 43214-1419 | 2012-05-23 |
| 1801023122 | Kristin Leigh Bixel | Obstetrics & Gynecology | 1145 Olentangy River Rd Ste 2100, Columbus, OH 43212-3117 | 2009-06-12 |
| 1437182722 | Vivian Vongruenigen | Obstetrics & Gynecology | 3909 Orange Pl Ste 4600, Beachwood, OH 44122-8400 | 2006-07-09 |
| 1609810779 | Richard D Kim | Obstetrics & Gynecology | 9500 Euclid Ave # R35, Cleveland, OH 44195-0001 | 2006-06-16 |
| 1477595510 | Larry J Copeland | Obstetrics & Gynecology | 3651 Ridge Mill Dr, Hilliard, OH 43026-7752 | 2006-06-12 |
| 1255328845 | Stephen J Andrews | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2005-09-29 |
| 1144229733 | Nicholas Reed | Obstetrics & Gynecology | 15 Messimer Dr, Newark, OH 43055-1841 | 2005-07-18 |
| 1225034622 | Luis Vaccarello | Obstetrics & Gynecology | 3100 Plaza Properties Blvd, Columbus, OH 43219-1531 | 2005-06-22 |
| 1407454655 | Jennifer Maureen Horvat | Obstetrics & Gynecology | 9500 Euclid Ave # A81, Cleveland, OH 44195-0001 | 2020-10-10 |
| 1003371915 | Summa Physicians Inc | Obstetrics & Gynecology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-02-05 |
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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.