KETTERING MEDICAL CENTER (NPI# 1790233195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790233195 |
| Entity Type | Organization |
| Organization Name | KETTERING MEDICAL CENTER |
| Practice Address |
524 Grants Trl Centerville OH 45459-3120 |
| Mailing Address |
524 Grants Trail Centerville OH 45459 |
| Practice Telephone | 9373677317 |
| Mailing Telephone | 9373677317 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | JANE MALAVICH (HR REPRESENTATIVE) |
| Authorized Official Telephone | 9373958863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | RN270267 | OH | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511688 | Kettering Medical Center | Pharmacy | 3700 Southern Blvd Ste 105, Kettering, OH 45429-1226 | 2016-11-23 |
| 1205005063 | Kettering Medical Center | Pharmacy | 4301 Lyons Rd, Miamisburg, OH 45342 | 2008-02-26 |
| 1790859171 | Kettering Medical Center | Pharmacy | 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342 | 2006-11-20 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1467090670 | Kettering Medical Center | Clinic/Center | 450b Washington Jackson Rd Ste 104, Eaton, OH 45320-7601 | 2019-12-18 |
| 1023587045 | Kettering Medical Center | General Acute Care Hospital | 600 W Main St, Troy, OH 45373-2928 | 2018-11-20 |
| 1487016796 | Kettering Medical Center | Pharmacy | 825 N Main St, Springboro, OH 45066-2100 | 2016-03-25 |
| 1366508657 | Kettering Medical Center | Clinic/Center | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-12-29 |
| 1871667253 | Kettering Medical Center | Pharmacy | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-11-20 |
| 1336257872 | Kettering Medical Center | Home Health | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-08-25 |
| Street Address |
524 GRANTS TRL |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437607827 | Kendra Varner | Registered Nurse | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811253305 | Trihealth, Inc. | General Acute Care Hospital | 890 Pimlico Dr Apt 2b, Centerville, OH 45459-8261 | 2012-04-09 |
| 1053777631 | Jenna Williams | General Acute Care Hospital | 2400 Miami Valley Dr, Centerville, OH 45459-4774 | 2016-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1922547496 | Stephen Grater | General Acute Care Hospital | 970 E Washington St Ste 3a, Medina, OH 44256-2181 | 2017-02-17 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| 1467997072 | Beverly Jean Cook I | General Acute Care Hospital | 610 Sanford Ave, Akron, OH 44305-2641 | 2017-01-05 |
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1124577705 | The Christ Hospital | General Acute Care Hospital | 502 Walnut Ln, Mason, OH 45040-2018 | 2016-09-24 |
| 1326497355 | John Wallin | General Acute Care Hospital | 15797 Madison Rd, Middlefield, OH 44062-8408 | 2016-06-09 |
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1033571351 | University of Pittsburgh Medical Center | General Acute Care Hospital | 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 | 2016-03-25 |
| 1275992091 | Ashley Marie Howell | General Acute Care Hospital | 10643 Bob Short, Clarksville, OH 45113-9604 | 2016-02-22 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.