| Trusted Health Care, Inc. | |
|
325 Regency Ridge Dr Dayton OH 45459-4252 | |
| (937) 436-3833 | |
| (937) 291-4562 |
| Full Name | Trusted Health Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Regency Ridge Dr, Dayton, Ohio |
| Authorized Official Name and Position | Jilian A Waite (PRESIDENT) |
| Authorized Official Contact | 9374363833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trusted Health Care, Inc. 341 Sentinel Oak Dr Centerville OH 45458-4074 Ph: (937) 436-3833 | Trusted Health Care, Inc. 325 Regency Ridge Dr Dayton OH 45459-4252 Ph: (937) 436-3833 |
| NPI Number | 1093892028 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/27/2014 |
| Medicare PECOS PAC ID | 1557380847 |
|---|---|
| Medicare Enrollment ID | O20051116000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093892028 | NPI | - | NPPES |
| 000000235555 | Other | OH | ANTHEM |
| 2379420 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-074883 (Ohio) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Bernadette M Knez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689792541 PECOS PAC ID: 0143325738 Enrollment ID: I20070410000140 |
| Provider Name | Marsha K Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659502904 PECOS PAC ID: 2961548086 Enrollment ID: I20091005000001 |
| Provider Name | Jilian A Waite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578538435 PECOS PAC ID: 2163441452 Enrollment ID: I20100308000180 |
| Provider Name | Adam Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104209014 PECOS PAC ID: 1759696248 Enrollment ID: I20150812008414 |
| Provider Name | Amanda L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100420 PECOS PAC ID: 2860709482 Enrollment ID: I20150915001582 |
| Provider Name | Tamara Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548679970 PECOS PAC ID: 7315209541 Enrollment ID: I20180327002462 |
| Provider Name | Cassie Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649775198 PECOS PAC ID: 2567726656 Enrollment ID: I20180425001228 |
| Provider Name | Jennifer Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902380744 PECOS PAC ID: 7416201892 Enrollment ID: I20181121002197 |
| Provider Name | Martina Coy-stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841894888 PECOS PAC ID: 6406263540 Enrollment ID: I20210407002446 |
| Provider Name | Lisa Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871848176 PECOS PAC ID: 3476950809 Enrollment ID: I20210927003208 |
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