WILLIAM BROKSCHMIDT (NPI# 1821629833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821629833 |
| Entity Type | Individual |
| Full Name | WILLIAM BROKSCHMIDT |
| Practice Address |
425 Hunter Ave Dayton OH 45404-1515 |
| Practice Telephone | 9375421855 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
425 HUNTER AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1515 |
| 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 |
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 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 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580281 | Kalin Ann Scarberry | Peer Specialist | 119 Neal Ave Apt 3, Dayton, OH 45405-4530 | 2020-05-28 |
| 1639702301 | Kevin Bruce Kerley | Peer Specialist | 2628 Wheeler Ave, Dayton, OH 45406-1636 | 2020-02-20 |
| 1003449943 | Alan Eugean Walder | Peer Specialist | 4145 Kammer Ave, Dayton, OH 45417-1126 | 2020-02-19 |
| 1194355529 | Jazmen Evans | Peer Specialist | 3536 Golden Meadows Ct, Dayton, OH 45404-1437 | 2020-01-24 |
| 1528606506 | Breanna Lenee' Mays | Peer Specialist | 5128 Derby Rd, Dayton, OH 45417-6229 | 2019-12-20 |
| 1205497237 | Abbey C Gardner | Peer Specialist | 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 | 2019-06-20 |
| 1215412929 | Samantha Nicole Newman | Peer Specialist | 1618 Meriline Ave, Dayton, OH 45410-3332 | 2018-09-27 |
| 1356837215 | Christopher Hanson Sykes | Peer Specialist | 639 Woodbourne Trl, Dayton, OH 45459-2903 | 2018-07-03 |
| 1972101582 | Kelli Raney | Peer Specialist | 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 | 2020-10-15 |
| 1356953681 | Angela Ponce | Peer Specialist | 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 | 2020-08-18 |
| Find all providers in DAYTON | ||||
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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.