GNAN N THAKORE


Address: 30 E Apple St Ste 5254a, Dayton, OH 45409
Phone: 9372084200

GNAN N THAKORE (NPI# 1710979000) 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) 1710979000
Entity Type Individual
Full Name GNAN N THAKORE
Credential M.D.
Practice Address 30 E Apple St Ste 5254a
Dayton
OH 45409
Mailing Address 3170 Kettering Blvd Bldg B3
Moraine
OH 45439-1924
Practice Telephone 9372084200
Practice Fax Number 9372084205
Mailing Telephone 9379913188
Mailing Fax Number 9372239811
Enumeration Date 2005-08-22
Last Update Date 2018-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
35067458 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM BCBS 000000012175 01
OH UNITED HEALTHCARE 4820078 01
OH 0987160 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1520 S Main St, # 2, Dayton, OH 454092698 9374615815 9374612896

Office Location

Street Address 30 E APPLE ST STE 5254A
City DAYTON
State OH
Zip Code 45409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366942096 Anuradha Surya Devara Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2018-02-19
1598289928 Cynthia Maria Schwartz Clinical Nurse Specialist 30 E Apple St Ste 5254a, Dayton, OH 45409 2017-07-27
1548718802 Daniel Scott Johnstone Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2016-09-15
1851784359 Krischelle Panganiban Rowland Nurse Practitioner 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2015-03-09
1023419041 Sarah Hendrickson Nurse Practitioner 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2014-09-09
1063848240 Michael Kentris Psychiatry & Neurology 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2013-09-19
1144561903 Lisa Renee Meiring Clinical Nurse Specialist 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2013-03-04
1013288364 Jessica Lynn Galli Robertson Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409 2012-01-18
1811273113 Brandi Nicole Bell Physician Assistant 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 2011-10-31
1760789598 Saranda Denise Manning Nurse Practitioner 30 E Apple St Ste 5254a, Suite 5254, Dayton, OH 45409 2011-02-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1477057529 Adam Joseph Langer Student in an Organized Health Care Education/Training Program 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 2018-03-22
1659870939 Timothy Wall Student in an Organized Health Care Education/Training Program 128 East Apple St., 2nd Floor, Dayton, OH 45409 2018-02-01
1124551411 Adam Schmerge Deardorff Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 6257, Dayton, OH 45409 2017-04-04
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1679983084 Jude Anneryan Cohen Registered Nurse 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 2014-05-07
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366434995 Mohammed Mazen Dallal Internal Medicine 1520 S Main St, # 2, Dayton, OH 45409-2698 2005-08-19
1780926063 Joseph Philip Nobile Internal Medicine 1520 S Main St Ste 2, Dayton, OH 45409-2699 2013-03-25
1629344312 Alexander Kobzik Internal Medicine 1520 S Main St Ste 2, Dayton, OH 45409-2699 2012-03-27
1275835845 Imad Shamsi Basha Internal Medicine 9001 N Main St Ste A, Dayton, OH 45415-1154 2010-12-02
1306171384 Gabriel Joe Hays Internal Medicine 1520 S Main St, Suite 2, Dayton, OH 45409-2698 2009-10-09
1649428244 Bone & Joint Surgeons, Inc Internal Medicine 9000 N Main St, Dayton, OH 45415-1180 2008-09-08
1538196639 Timothy George Janz Internal Medicine 4100 W 3rd St, Dayton, OH 45428-9000 2006-06-26
1922084862 Shakeel Ahmed Internal Medicine 33 W Rahn Rd, Dayton, OH 45429-2219 2005-12-22
1588649206 Steven Lawrence Chambers Internal Medicine 1520 S Main St, # 2, Dayton, OH 45409-2698 2005-12-15
1275525693 Randall M Fulchiero Internal Medicine 1520 S Main St, # 2, Dayton, OH 45409-2698 2005-08-22
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45409

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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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