MISS ALIM VIVANCO (NPI# 1881977171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881977171 |
Entity Type | Individual |
Full Name | MISS ALIM VIVANCO |
Practice Address |
2641 Hibiscus Way Apt 312 Beavercreek OH 45431-2393 |
Practice Telephone | 9378300114 |
Mailing Telephone | 9378300114 |
Enumeration Date | 2011-09-22 |
Last Update Date | 2011-09-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 23558185 | OH | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 23558185 | OH | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 23558185 | OH | Allopathic & Osteopathic Physicians |
Street Address |
2641 HIBISCUS WAY APT 312 |
City | BEAVERCREEK |
State | OH |
Zip Code | 45431-2393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
Find all providers in zip 45431 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225354004 | Dennis Michael Sullivan | General Practice | 308 Melanie Ct, Beavercreek, OH 45434-6220 | 2010-04-19 |
1598281057 | Advanced Medical & Wellness Center, Inc. | General Practice | 3060 Dayton Xenia Rd Ste A, Beavercreek, OH 45434-6393 | 2017-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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1053928499 | Ontario Medical Spine and Joint | General Practice | 2262 Stumbo Rd, Ontario, OH 44906-3804 | 2020-09-29 |
1437788874 | Syed, LLC | General Practice | 366 Birchbrook Ct, Centerville, OH 45458-9718 | 2020-04-07 |
1982237681 | Hydreight Usa LLC | General Practice | 16738 Pearl Rd, Strongsville, OH 44136-6049 | 2020-02-20 |
1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
Find all providers with the same taxonomy |
City | BEAVERCREEK |
Zip Code | 45431 |
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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.