Judi L Desimio, MS, FNP-BC | |
3535 Southern Blvd, Kettering, OH 45429-1221 | |
(937) 395-8842 | |
(937) 395-8379 |
Full Name | Judi L Desimio |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3535 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689815524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN185319COA1 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | COA10443NP (Ohio) | Primary |
Entity Name | Osh-oh Physicians Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346747946 PECOS PAC ID: 1759639693 Enrollment ID: O20180808003187 |
Entity Name | Community Care Health Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20181221001967 |
Mailing Address | Practice Location Address |
---|---|
Judi L Desimio, MS, FNP-BC 2115 Leiter Rd, Miamisburg, OH 45342-3659 Ph: (937) 384-6800 | Judi L Desimio, MS, FNP-BC 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8842 |
Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436 | |
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992 | |
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Eric E Bowers, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331 | |
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174 | |
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 |