SAMARITAN FAMILY CARE INC (NPI# 1851627228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851627228 |
Entity Type | Organization |
Organization Name | SAMARITAN FAMILY CARE INC |
Other Organization Name | NEEDMORE ROAD PRIMARY CARE |
Practice Address |
1530 Needmore Rd Suite 200 Dayton OH 45414-3969 |
Practice Telephone | 9372785854 |
Practice Fax Number | 9372785864 |
Mailing Telephone | 9372785854 |
Mailing Fax Number | 9372785864 |
Enumeration Date | 2009-10-20 |
Last Update Date | 2013-11-08 |
Authorized Official Name | KENNETH PRUNIER (PRESIDENT/CEO) |
Authorized Official Telephone | 9372088213 |
Is Organization Subpart | Y |
Parent Organization Name | SAMARITAN FAMILY CARE, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2224597 | 05 |
Other Name | Type Code |
---|---|
Needmore Road Primary Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598936452 | Samaritan Family Care Inc | Clinical Nurse Specialist | 885 Union Road, Englewood, OH 45322 | 2008-03-19 |
1720161086 | Samaritan Family Care Inc | Family Medicine | 810 Falls Creek Dr, Suite B, Vandalia, OH 45377-8600 | 2006-10-23 |
1417902982 | Samaritan Family Care Inc | Family Medicine | 201 N Ludlow Street, Phillipsburg, OH 45354 | 2006-05-23 |
1467405332 | Samaritan Family Care Inc | Family Medicine | 1 W National Rd, Vandalia, OH 45377-1932 | 2006-05-19 |
1235182668 | Samaritan Family Care Inc | Pediatrics | 6251 Good Samaritan Way, Suite 210c, Huber Heights, OH 45424-1051 | 2006-05-18 |
1518209618 | Samaritan Family Care Inc | Family Medicine | 9000 N Main St, Ste 238, Dayton, OH 45415-1180 | 2013-03-27 |
1699022319 | Samaritan Family Care Inc | Internal Medicine | 80 E Woodbury Dr, Suite B, Dayton, OH 45415-2800 | 2012-08-13 |
1730454281 | Samaritan Family Care Inc | Family Medicine | 500 N Main St, Lewisburg, OH 45338-9503 | 2012-03-16 |
1740516046 | Samaritan Family Care Inc | Family Medicine | 8638 Old Troy Pike, Suite 103, Huber Heights, OH 45424-1051 | 2009-10-22 |
1659503886 | Samaritan Family Care Inc | Internal Medicine | 3170 Kettering Blvd, Building B 3rd Floor, Moraine, OH 45439-1924 | 2009-08-21 |
Street Address |
1530 NEEDMORE RD SUITE 200 |
City | DAYTON |
State | OH |
Zip Code | 45414-3969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033111232 | Sudhakar Maraboyina | Internal Medicine | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2005-06-01 |
1780235226 | Saima N/a Rashid | Physician Assistant | 1530 Needmore Rd, Dayton, OH 45414-3969 | 2019-09-26 |
1487007415 | Joshua Eley | Physician Assistant | 1530 Needmore Rd, Suite 300, Dayton, OH 45414-3969 | 2016-07-14 |
1588073589 | Caitlin Chabut | Physician Assistant | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2014-08-05 |
1821366501 | Premier Health Specialists Inc | Internal Medicine | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2011-12-08 |
1437438330 | Digestive Specialists Inc | Internal Medicine | 1530 Needmore Rd, Suite 101, Dayton, OH 45414-3969 | 2011-08-09 |
1295033116 | Thein Tun Aung | Internal Medicine | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3980 | 2011-03-01 |
1730332610 | Gi Anesthesia, LLC | Anesthesiology | 1530 Needmore Rd, Suite 101, Dayton, OH 45414-3969 | 2008-10-23 |
1366629693 | Elaine M Post | Nurse Practitioner | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2008-01-29 |
1790904019 | Ryan L. Zollett | Anesthesiology | 1530 Needmore Rd, Suite 101, Dayton, OH 45414-3969 | 2007-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
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.