| Kettering Health Dayton - Cassano | |
|
165 S Edwin C Moses Blvd Dayton OH 45402-8472 | |
| (937) 558-0200 | |
| (937) 558-0201 |
| Full Name | Kettering Health Dayton - Cassano |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 S Edwin C Moses Blvd, Dayton, Ohio |
| Authorized Official Name and Position | Timothy Ko (KETTERING HEALTH CFO) |
| Authorized Official Contact | 9375583223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Health Dayton - Cassano 1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 Ph: (937) 762-1310 | Kettering Health Dayton - Cassano 165 S Edwin C Moses Blvd Dayton OH 45402-8472 Ph: (937) 558-0200 |
| NPI Number | 1588630347 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 08/06/2024 |
| Medicare PECOS PAC ID | 7618878877 |
|---|---|
| Medicare Enrollment ID | O20040120000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588630347 | NPI | - | NPPES |
| 2400619 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | James R Ouellette |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1245288422 PECOS PAC ID: 7012812456 Enrollment ID: I20031126000753 |
| Provider Name | Daniel P Marck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750466082 PECOS PAC ID: 4789582172 Enrollment ID: I20031223000035 |
| Provider Name | Jeffrey J Kaufhold |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215900055 PECOS PAC ID: 4082516794 Enrollment ID: I20040123000097 |
| Provider Name | Barbara M Doerr |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245203033 PECOS PAC ID: 2961304670 Enrollment ID: I20040123000118 |
| Provider Name | Mark D Oxman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417921958 PECOS PAC ID: 9739074857 Enrollment ID: I20040218000307 |
| Provider Name | Himanshu Bhaskar Joshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427098615 PECOS PAC ID: 9537051883 Enrollment ID: I20040330000125 |
| Provider Name | Amy Byerly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023094091 PECOS PAC ID: 3173514486 Enrollment ID: I20040524000853 |
| Provider Name | Caroline Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851377956 PECOS PAC ID: 2163413485 Enrollment ID: I20040524000926 |
| Provider Name | Kimberly Ann Warren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932104106 PECOS PAC ID: 5991796260 Enrollment ID: I20040524001299 |
| Provider Name | Jennifer Lyn Jackson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275507311 PECOS PAC ID: 7618951542 Enrollment ID: I20040617000001 |
| Provider Name | Andrew Louis Archer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336142603 PECOS PAC ID: 7315925492 Enrollment ID: I20040713001621 |
| Provider Name | Sung Kwong Or |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477511475 PECOS PAC ID: 0749250660 Enrollment ID: I20040728001198 |
| Provider Name | Roxane Weighall |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1497711493 PECOS PAC ID: 3678543931 Enrollment ID: I20040728001658 |
| Provider Name | Carla M Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581951 PECOS PAC ID: 9739070335 Enrollment ID: I20040824000951 |
| Provider Name | Mark W Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225050560 PECOS PAC ID: 6709836034 Enrollment ID: I20050125000636 |
| Provider Name | Paul Jeffrey Pawlosky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508842600 PECOS PAC ID: 6204864051 Enrollment ID: I20050802000713 |
| Provider Name | Charles C Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861497695 PECOS PAC ID: 1254369010 Enrollment ID: I20050802000785 |
| Provider Name | Percy Frasier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578556767 PECOS PAC ID: 0840200846 Enrollment ID: I20060504000186 |
| Provider Name | Ryan Maenpa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871571760 PECOS PAC ID: 5698785657 Enrollment ID: I20060816000128 |
| Provider Name | Michael A Elrod |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629001359 PECOS PAC ID: 3870590722 Enrollment ID: I20061107000192 |
| Provider Name | Zaiba Malik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932278868 PECOS PAC ID: 3870521628 Enrollment ID: I20070619000077 |
| Provider Name | Timothy W Harman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1093816894 PECOS PAC ID: 9335240985 Enrollment ID: I20070726000069 |
| Provider Name | Chukwuma E Eze |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154419521 PECOS PAC ID: 7719965797 Enrollment ID: I20071022000508 |
| Provider Name | Yang Pan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982634416 PECOS PAC ID: 0547357204 Enrollment ID: I20071029000392 |
| Provider Name | Victoria R Buckner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598788507 PECOS PAC ID: 4981609054 Enrollment ID: I20071213000566 |
| Provider Name | Joseph Dicicco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871595868 PECOS PAC ID: 8123032422 Enrollment ID: I20080430000430 |
| Provider Name | H Brent Brent Bamberger |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1467454447 PECOS PAC ID: 9335228576 Enrollment ID: I20080430000446 |
| Provider Name | John Urse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619979689 PECOS PAC ID: 7517046758 Enrollment ID: I20080430000462 |
| Provider Name | David Bruce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083611792 PECOS PAC ID: 9234104795 Enrollment ID: I20080502000654 |
| Provider Name | Ashok K Ammula |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356558894 PECOS PAC ID: 5890869499 Enrollment ID: I20080730000674 |
| Provider Name | Brian J Mihok |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164613303 PECOS PAC ID: 1153495684 Enrollment ID: I20080801000219 |
| Provider Name | Robert L Peets |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720085236 PECOS PAC ID: 6608809728 Enrollment ID: I20080801000261 |
| Provider Name | Michael J Valle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285636050 PECOS PAC ID: 1153218938 Enrollment ID: I20090521000628 |
| Provider Name | Matthew W Heckler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164634689 PECOS PAC ID: 5294891461 Enrollment ID: I20090629000225 |
| Provider Name | Patrick L Spencer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861494304 PECOS PAC ID: 9931251824 Enrollment ID: I20090724000057 |
| Provider Name | Scott M Pfahler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093923385 PECOS PAC ID: 0446346365 Enrollment ID: I20090805000051 |
| Provider Name | Whitney Lee Sharp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609086685 PECOS PAC ID: 5092868067 Enrollment ID: I20090810000134 |
| Provider Name | Anna E Hatic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770795973 PECOS PAC ID: 1456405141 Enrollment ID: I20090814000188 |
| Provider Name | Suzette M Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588849871 PECOS PAC ID: 7719023837 Enrollment ID: I20091002000663 |
| Provider Name | Warren M Sobol |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881691327 PECOS PAC ID: 3678550092 Enrollment ID: I20091210000375 |
| Provider Name | David E Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407895543 PECOS PAC ID: 1951444553 Enrollment ID: I20100204000528 |
| Provider Name | Gregory S Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780682229 PECOS PAC ID: 3173414778 Enrollment ID: I20100408000158 |
| Provider Name | Trevor Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639408776 PECOS PAC ID: 9234265836 Enrollment ID: I20100408000191 |
| Provider Name | Kenneth B Pugar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528060399 PECOS PAC ID: 2163319930 Enrollment ID: I20100520000672 |
| Provider Name | Troy Alan Tyner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814526 PECOS PAC ID: 5890686497 Enrollment ID: I20100610001083 |
| Provider Name | Ingrid M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952309726 PECOS PAC ID: 2365520681 Enrollment ID: I20100617000291 |
| Provider Name | Safet Hatic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245442987 PECOS PAC ID: 0244361384 Enrollment ID: I20100706000437 |
| Provider Name | Timothy Lee Schoonover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033111802 PECOS PAC ID: 7416844295 Enrollment ID: I20100720000695 |
| Provider Name | Trisha A Pachiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386621027 PECOS PAC ID: 4981738929 Enrollment ID: I20100812001118 |
| Provider Name | Michelle R Noel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376758797 PECOS PAC ID: 0446301352 Enrollment ID: I20100816000121 |
| Provider Name | Thomas Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295799666 PECOS PAC ID: 1254358435 Enrollment ID: I20100817000103 |
| Provider Name | Chad A Weber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407078413 PECOS PAC ID: 5890840821 Enrollment ID: I20100830000161 |
| Provider Name | Shashikant Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962682609 PECOS PAC ID: 1254456684 Enrollment ID: I20100908001149 |
| Provider Name | David R Mann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275745242 PECOS PAC ID: 9335265057 Enrollment ID: I20100929001667 |
| Provider Name | William G Alter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669639779 PECOS PAC ID: 5496947426 Enrollment ID: I20101008001135 |
| Provider Name | James G Beegan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508831603 PECOS PAC ID: 0042493702 Enrollment ID: I20110318000117 |
| Provider Name | Brannon R Churchwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467788877 PECOS PAC ID: 1355526518 Enrollment ID: I20110503000574 |
| Provider Name | Brian F Seavey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457592719 PECOS PAC ID: 8426226630 Enrollment ID: I20110713000862 |
| Provider Name | Rachel Marie Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952552812 PECOS PAC ID: 4587834155 Enrollment ID: I20110909002523 |
| Provider Name | Amy M Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831366889 PECOS PAC ID: 6800068974 Enrollment ID: I20111013000649 |
| Provider Name | Stephen Fleischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134335805 PECOS PAC ID: 4688846785 Enrollment ID: I20111014000301 |
| Provider Name | Brian Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831243062 PECOS PAC ID: 5496819930 Enrollment ID: I20111208000418 |
| Provider Name | Misty I Dickerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427296318 PECOS PAC ID: 7416107685 Enrollment ID: I20121024000360 |
| Provider Name | Shachi S. Lovekar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457560278 PECOS PAC ID: 1355441676 Enrollment ID: I20121115000607 |
| Provider Name | Brian W Church |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134482029 PECOS PAC ID: 4880846500 Enrollment ID: I20121204000180 |
| Provider Name | Chad Reed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003068230 PECOS PAC ID: 4587832993 Enrollment ID: I20130426000337 |
| Provider Name | Adam J Dann |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720236433 PECOS PAC ID: 2860631975 Enrollment ID: I20130709000443 |
| Provider Name | Paul M Levy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760639884 PECOS PAC ID: 9931348786 Enrollment ID: I20130801000863 |
| Provider Name | David Martineau |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1306095518 PECOS PAC ID: 6709055239 Enrollment ID: I20131202000700 |
| Provider Name | Kelly Lynn Welsh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861821332 PECOS PAC ID: 3375868722 Enrollment ID: I20150206001404 |
| Provider Name | Karen Michelle Gisslen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619352929 PECOS PAC ID: 7719291533 Enrollment ID: I20150806010550 |
| Provider Name | Megan L Mackenzie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912274994 PECOS PAC ID: 8022257054 Enrollment ID: I20150904000505 |
| Provider Name | Paul D Gleason |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558357509 PECOS PAC ID: 7618294042 Enrollment ID: I20150930002331 |
| Provider Name | Antonio Manocchio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376810044 PECOS PAC ID: 8325287063 Enrollment ID: I20160624001610 |
| Provider Name | Chelsea A Nickolson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033557764 PECOS PAC ID: 5395974430 Enrollment ID: I20160727002846 |
| Provider Name | Nathan M Melton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083734438 PECOS PAC ID: 8224120209 Enrollment ID: I20160823002629 |
| Provider Name | Atiba Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033329990 PECOS PAC ID: 0547394025 Enrollment ID: I20160913002667 |
| Provider Name | Nicole Christine Boucuvalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843668 PECOS PAC ID: 6305125121 Enrollment ID: I20161118002139 |
| Provider Name | Jessica L Tyler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497161608 PECOS PAC ID: 8628393584 Enrollment ID: I20170524002607 |
| Provider Name | Kenneth D Pugar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174961874 PECOS PAC ID: 9234368333 Enrollment ID: I20170526001569 |
| Provider Name | Justin Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730595141 PECOS PAC ID: 3173847266 Enrollment ID: I20170602001742 |
| Provider Name | James William Augusta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972858421 PECOS PAC ID: 7012155724 Enrollment ID: I20170608002445 |
| Provider Name | Andrew Robert Malarkey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972858777 PECOS PAC ID: 5496994766 Enrollment ID: I20170926003872 |
| Provider Name | Nicholas James Houlis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508023466 PECOS PAC ID: 2264755529 Enrollment ID: I20171019002065 |
| Provider Name | Drew W Dula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386050821 PECOS PAC ID: 7911220512 Enrollment ID: I20180612001109 |
| Provider Name | Daniel Richard Lygrisse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518306489 PECOS PAC ID: 6305089913 Enrollment ID: I20180625003758 |
| Provider Name | Jordan David Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518305945 PECOS PAC ID: 3072742113 Enrollment ID: I20180719003581 |
| Provider Name | Kristen Lea Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114333531 PECOS PAC ID: 3072863844 Enrollment ID: I20180829002795 |
| Provider Name | Nathan M Fisher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003231853 PECOS PAC ID: 5294023628 Enrollment ID: I20190718003442 |
| Provider Name | Daniel Buchan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972929164 PECOS PAC ID: 0648546614 Enrollment ID: I20190724002687 |
| Provider Name | Jerrod Steimle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639584949 PECOS PAC ID: 6507181039 Enrollment ID: I20191125002202 |
| Provider Name | Mollie E Strauchon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457653933 PECOS PAC ID: 3476791328 Enrollment ID: I20200212002835 |
| Provider Name | Swe Zin Mar Win Htut Oo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396136875 PECOS PAC ID: 9638472004 Enrollment ID: I20200528002477 |
| Provider Name | Derek J Menkedick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699137364 PECOS PAC ID: 5991096117 Enrollment ID: I20200605001960 |
| Provider Name | Erin M O'neill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891227088 PECOS PAC ID: 1254604945 Enrollment ID: I20210503002520 |
| Provider Name | Tamara M. Barlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831771336 PECOS PAC ID: 0648689489 Enrollment ID: I20210507002341 |
| Provider Name | Sara Ramquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245762459 PECOS PAC ID: 9739466533 Enrollment ID: I20210720003824 |
| Provider Name | Natalie Bauer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1992191019 PECOS PAC ID: 1254646433 Enrollment ID: I20210804004028 |
| Provider Name | Megan Ashley Davis-reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407510894 PECOS PAC ID: 6800285339 Enrollment ID: I20211122002459 |
| Provider Name | Grant Andrew Huish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376074849 PECOS PAC ID: 2466729702 Enrollment ID: I20220509001838 |
| Provider Name | Stephen K Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700310943 PECOS PAC ID: 2668740911 Enrollment ID: I20220610001851 |
| Provider Name | Steven C Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144674185 PECOS PAC ID: 7113218272 Enrollment ID: I20220811003625 |
| Provider Name | Ramya Raghavan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952899155 PECOS PAC ID: 2769731686 Enrollment ID: I20230721001929 |
Kenvic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elizabeth Pl, Sixth Floor, Dayton, OH 45408 Phone: 937-222-5963 | |
Woodcroft Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Indian Ripple Rd, Suite 210, Dayton, OH 45440 Phone: 937-427-9202 Fax: 937-427-9671 | |
Digestive Endoscopy Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4340 Clyo Rd Ste 100, Dayton, OH 45459 Phone: 937-534-7330 Fax: 937-297-2208 | |
Charles Drew Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1323 W 3rd St, Dayton, OH 45402 Phone: 937-586-9733 Fax: 937-461-9698 | |
Infectious Disease Physicians Of Dayton Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Infusion Services, Dayton, OH 45415 Phone: 937-279-5803 Fax: 937-279-5873 | |
Specialty Medicine Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459 Phone: 937-429-0607 | |
Glenda Lopez-blaza Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8710 N Dixie Dr, Dayton, OH 45414 Phone: 937-415-0501 Fax: 937-415-0520 |