DR. EDWARD J KINKOPF (NPI# 1932101151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932101151 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J KINKOPF |
| Credential | D.O. |
| Practice Address |
1989 Miamisburg Centerville Rd Ste 301 Centerville OH 45459-3858 |
| Mailing Address |
2912 Springboro W Ste 201 Dayton OH 45439-1674 |
| Practice Telephone | 9374347353 |
| Practice Fax Number | 9374386569 |
| Mailing Telephone | 9374347353 |
| Mailing Fax Number | 9374386569 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34002998K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNICARE | 000000227873 | 01 |
| OH | ANTHEM | 000000227873 | 01 |
| OH | RAILROAD MEDICARE | 080191713 | 01 |
| OH | HUMANA/CHOICECARE | D0299805 | 01 |
| OH | NATIONWIDE HEALTH PLAN | OC03635 | 01 |
| OH | CARESOURCE | 421534506074 | 01 |
| OH | MEDICAL LICENSE | 34002998 | 01 |
| OH | AETNA | 2220377 | 01 |
| OH | UNITED HEALTHCARE | 0120251 | 01 |
| OH | 0480224 | 05 |
| Street Address |
1989 MIAMISBURG CENTERVILLE RD STE 301 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626368 | Anthony F Lugo | Family Medicine | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | 2005-06-01 |
| 1619352929 | Karen M Gisslen | Advanced Practice Midwife | 1989 Miamisburg Centerville Rd, Suite 204, Centerville, OH 45459-3859 | 2015-07-28 |
| 1679818405 | Carmen Michelle Gustafson | Clinical Nurse Specialist | 1989 Miamisburg Centerville Rd, Centerville, OH 45459-3859 | 2012-12-05 |
| 1689824922 | Paul J. Pawlosky Ob-gyn, Inc. | Obstetrics & Gynecology | 1989 Miamisburg Centerville Rd, Suite 302, Centerville, OH 45459-3859 | 2008-09-23 |
| 1740406701 | Drs Green and Hodge Inc | Colon & Rectal Surgery | 1989 Miamisburg Centerville Rd, Suite 201 Satellite Office, Centerville, OH 45459 | 2007-04-18 |
| 1962582908 | Internal Medicine Care, Inc | Internal Medicine | 1989 Miamisburg Centerville Rd, Suite 201, Centerville, OH 45459-3859 | 2006-10-16 |
| 1467438432 | Wasyl Terlecky Jr. | Family Medicine | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | 2005-12-21 |
| 1508842600 | Paul J Pawlosky | Obstetrics & Gynecology | 1989 Miamisburg Centerville Rd, Suite 302, Centerville, OH 45459-3859 | 2005-12-20 |
| 1760487599 | Jeffrey B Gleick | Family Medicine | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3859 | 2005-06-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1841746682 | Care Bridge Practitioners of Dayton, LLC | Family Medicine | 1217 F Lyons Rd, Centerville, OH 45458-1858 | 2016-08-31 |
| 1396158440 | Paul Allen Chiles | Family Medicine | 5 Kamholz Rd, Centerville, WA 98613 | 2014-06-06 |
| 1831518323 | Paul Anthony Krebs | Family Medicine | 2350 Miami Valley Dr Ste 320, Centerville, OH 45459-4778 | 2014-04-10 |
| 1912257718 | Sabiha T. Siddiqui, LLC | Family Medicine | 10775 Falls Creek Ln, Centerville, OH 45458-6063 | 2012-09-19 |
| 1508153289 | Taj A Rashid Md Inc | Family Medicine | 1500 Yankee Park Pl, Centerville, OH 45458-1878 | 2011-07-01 |
| 1326174095 | Steven C. Lore, M.d., P.l.l.c. | Family Medicine | 1439 N 400 W, Centerville, UT 84014-1127 | 2007-02-26 |
| 1144300377 | John Crocker | Family Medicine | 366 Simcoe Mt. Road, Centerville, WA 98613 | 2006-10-16 |
| 1518054337 | Christopher James Sesslar | Family Medicine | 6627 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2006-10-05 |
| 1881633386 | Paul Brammer | Family Medicine | 2350 Miami Valley Drive, Suite 530, Centerville, OH 45459-2786 | 2006-06-06 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| 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.