KENNETH W BROCK (NPI# 1942286851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942286851 |
| Entity Type | Individual |
| Full Name | KENNETH W BROCK |
| Credential | MD |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Mailing Address |
20 Prestige Plz Suite 100 Miamisburg OH 45342-5354 |
| Practice Telephone | 9373958166 |
| Mailing Telephone | 9374364658 |
| Mailing Fax Number | 9374364984 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | 35037259 | OH | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0251614 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081038 | Kenneth Sean Brock | Home Health Aide | 1110 Martin Ave, Toledo, OH 43612-1727 | 2020-10-19 |
| 1861856080 | Kenneth M Brock | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2016-04-13 |
| 1578593174 | Kenneth J Brock | Psychiatry & Neurology | 3106 S W S Young Dr Ste A103, Killeen, TX 76542-2007 | 2006-07-03 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396171336 | Lathanikone Langston Louprasong | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2013-09-23 |
| 1619194420 | Daniel P. Marcus | Personal Emergency Response Attendant | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2007-04-20 |
| 1578788006 | Anna M. Robinson | Personal Emergency Response Attendant | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2007-04-17 |
| 1821034422 | Stephen Michael Enseleit | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-06-21 |
| 1295713725 | Marni A Teramana | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-01-05 |
| 1710965249 | Beverly A Williams | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-01-05 |
| 1336126234 | Robert A Jasper | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-12-30 |
| 1114904018 | John S Kasper | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-12-30 |
| 1083691901 | Stephan F Kircher | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-12-30 |
| 1831176155 | Mark E Gebhart | Personal Emergency Response Attendant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-12-28 |
| Find all providers in KETTERING | ||||
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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.