JOSHUA BUMGARDNER (NPI# 1861894958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861894958 |
| Entity Type | Individual |
| Full Name | JOSHUA BUMGARDNER |
| Credential | PA-C |
| Practice Address |
7700 Washington Village Dr Ste 210 Centerville OH 45459-4094 |
| Practice Telephone | 9375622291 |
| Practice Fax Number | 9375622293 |
| Mailing Telephone | 9375622291 |
| Mailing Fax Number | 9375622293 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.004139 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0110900 | 05 | |
| OH | ANTHEM | 000000893560 | 01 |
| Street Address |
7700 WASHINGTON VILLAGE DR STE 210 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-4094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428476 | Michelle M Russell | Family Medicine | 7700 Washington Village Dr Ste 210, Centerville, OH 45459-4094 | 2005-12-20 |
| 1164988945 | Erin Rae Perilman | Nurse Practitioner | 7700 Washington Village Dr Ste 210, Centerville, OH 45459-4094 | 2019-02-16 |
| 1619416104 | Michelle L Bizzarro | Nurse Practitioner | 7700 Washington Village Dr Ste 210, Centerville, OH 45459-4094 | 2017-02-16 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368153 | Emily Christine Fedders | Physician Assistant | 512 Broadway St, Centerville, SD 57014-2225 | 2020-08-24 |
| 1235524323 | Allison M. Friberg | Physician Assistant | 1185b Falmouth Road, Centerville, MA 02632 | 2015-04-06 |
| 1134493620 | Ashley L Jack | Physician Assistant | 655 Seventh Street, Bldg 700, Centerville, GA 31028 | 2012-02-29 |
| 1356426639 | Shelly J Geloneck | Physician Assistant | 1235 E. Alex Bell Rd, Centerville, OH 45459 | 2006-10-26 |
| 1972549947 | Shirley Jeanne Baker | Physician Assistant | 607 Lassater, Centerville, TX 78533 | 2006-06-20 |
| 1336140896 | Donald E Bogard II | Physician Assistant | 2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 | 2005-08-09 |
| 1376195628 | Lulu Hong | Physician Assistant | 7095 Clyo Rd, Centerville, OH 45459-4816 | 2019-07-16 |
| 1548828825 | Manuel Alvarez Jr. | Physician Assistant | 2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 | 2019-06-03 |
| 1417444134 | Denise Ellene Buenger | Physician Assistant | 2400 Miami Valley Dr, Centerville, OH 45459-4774 | 2018-04-18 |
| 1023521085 | Kayla Michelle Fryman | Physician Assistant | 7677 Yankee St, Centerville, OH 45459-3475 | 2017-11-13 |
| Find all providers in CENTERVILLE | ||||
| 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.