| South Dayton Acute Care Consultants, Inc | |
|
33 W Rahn Rd Dayton OH 45429-2219 | |
| (937) 433-8990 | |
| (937) 433-8691 |
| Full Name | South Dayton Acute Care Consultants, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33 W Rahn Rd, Dayton, Ohio |
| Authorized Official Name and Position | Rebecca J Kronauge (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9374338990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Dayton Acute Care Consultants, Inc 33 W Rahn Rd Dayton OH 45429-2219 Ph: (937) 433-8990 | South Dayton Acute Care Consultants, Inc 33 W Rahn Rd Dayton OH 45429-2219 Ph: (937) 433-8990 |
| NPI Number | 1669442950 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 05/05/2020 |
| Medicare PECOS PAC ID | 3577452465 |
|---|---|
| Medicare Enrollment ID | O20040310001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669442950 | NPI | - | NPPES |
| 0658168 | Medicaid | OH |
| Provider Name | Janet Wasylyshen-velasco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467444240 PECOS PAC ID: 8527965292 Enrollment ID: I20031219000058 |
| Provider Name | Asma Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154313922 PECOS PAC ID: 2466347935 Enrollment ID: I20040216000615 |
| Provider Name | Todd E Ignarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801841663 PECOS PAC ID: 0042111627 Enrollment ID: I20040506001255 |
| Provider Name | Susan Meera Grandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073686838 PECOS PAC ID: 6800863747 Enrollment ID: I20040910001274 |
| Provider Name | Leesa Irene Comparin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821054982 PECOS PAC ID: 4284689605 Enrollment ID: I20050318000505 |
| Provider Name | Lyndetta P Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174505465 PECOS PAC ID: 1850348731 Enrollment ID: I20050404000023 |
| Provider Name | Richard Kevin Groger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194717876 PECOS PAC ID: 0941238117 Enrollment ID: I20050728001225 |
| Provider Name | Kaili Fan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396737094 PECOS PAC ID: 9638102965 Enrollment ID: I20050915001248 |
| Provider Name | Kamini Pranav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395689 PECOS PAC ID: 6608894720 Enrollment ID: I20051108000168 |
| Provider Name | Lisa Renee Vantrease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198066 PECOS PAC ID: 4688697584 Enrollment ID: I20060106000016 |
| Provider Name | Michael J Tuchfarber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467422865 PECOS PAC ID: 6800800137 Enrollment ID: I20060126000017 |
| Provider Name | Naveena Sallapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982709325 PECOS PAC ID: 2567471626 Enrollment ID: I20060418000415 |
| Provider Name | Parminder K Modgil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528166816 PECOS PAC ID: 0446257323 Enrollment ID: I20061107000463 |
| Provider Name | Manjula Satyanarayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558412866 PECOS PAC ID: 5991807828 Enrollment ID: I20070223000617 |
| Provider Name | Jonathan Cain Royalty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720021306 PECOS PAC ID: 7911957469 Enrollment ID: I20070702000199 |
| Provider Name | Gnanam Thambi Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255346730 PECOS PAC ID: 0648241406 Enrollment ID: I20070911000209 |
| Provider Name | Shailendra Sawh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518952605 PECOS PAC ID: 8729177860 Enrollment ID: I20071127000862 |
| Provider Name | Valerie A Aliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073692042 PECOS PAC ID: 3577638733 Enrollment ID: I20080822000137 |
| Provider Name | Sven E Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609830876 PECOS PAC ID: 1254488729 Enrollment ID: I20090421000176 |
| Provider Name | Richard J Saxen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790847226 PECOS PAC ID: 2860533122 Enrollment ID: I20100108000263 |
| Provider Name | Robert Barker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114929320 PECOS PAC ID: 7911896816 Enrollment ID: I20100318000522 |
| Provider Name | James M Tytko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720071012 PECOS PAC ID: 7911035977 Enrollment ID: I20100512000422 |
| Provider Name | Robert J Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730160268 PECOS PAC ID: 3072643303 Enrollment ID: I20100614000447 |
| Provider Name | James H Galbraith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407848252 PECOS PAC ID: 6305979055 Enrollment ID: I20100802000104 |
| Provider Name | Jeffrey W. Weinstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700878543 PECOS PAC ID: 5395634299 Enrollment ID: I20100802000117 |
| Provider Name | Melody N Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629060470 PECOS PAC ID: 6608909940 Enrollment ID: I20100806000227 |
| Provider Name | Indu N Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447242045 PECOS PAC ID: 9335273291 Enrollment ID: I20100813000238 |
| Provider Name | Sarah M Hedrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043371156 PECOS PAC ID: 3274721998 Enrollment ID: I20101222000607 |
| Provider Name | Russell Shaen Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285883934 PECOS PAC ID: 7012194004 Enrollment ID: I20110531000159 |
| Provider Name | George N Mwandia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664344 PECOS PAC ID: 9739357096 Enrollment ID: I20110713000193 |
| Provider Name | Susan D Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659641454 PECOS PAC ID: 1254599236 Enrollment ID: I20120222000283 |
| Provider Name | Joshua A Hamilton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871744540 PECOS PAC ID: 1658531785 Enrollment ID: I20120328000373 |
| Provider Name | Karlo A Rufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194956581 PECOS PAC ID: 5698930873 Enrollment ID: I20120713000513 |
| Provider Name | Satish Sarvepalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750584744 PECOS PAC ID: 4981850302 Enrollment ID: I20120816000986 |
| Provider Name | Anna M Squibb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073740353 PECOS PAC ID: 7810144417 Enrollment ID: I20120905000254 |
| Provider Name | Courtney Stroble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205065760 PECOS PAC ID: 3577711514 Enrollment ID: I20120917000132 |
| Provider Name | Rajan Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245531151 PECOS PAC ID: 9830342377 Enrollment ID: I20130110000630 |
| Provider Name | Michelle Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700154846 PECOS PAC ID: 5092953802 Enrollment ID: I20130605000656 |
| Provider Name | Alpa Kunal Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518281591 PECOS PAC ID: 0345489837 Enrollment ID: I20130612000741 |
| Provider Name | Shruti H Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053635045 PECOS PAC ID: 7517109226 Enrollment ID: I20130808000836 |
| Provider Name | Ryan Garner Zazuo Mihata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760466726 PECOS PAC ID: 3274670294 Enrollment ID: I20140214001326 |
| Provider Name | Isaac P Humphrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649357724 PECOS PAC ID: 2163667155 Enrollment ID: I20140217000753 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20140520001952 |
| Provider Name | Sravan Kumar Metla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851713879 PECOS PAC ID: 1759505407 Enrollment ID: I20140619000787 |
| Provider Name | Sivaprasad Nalluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558619668 PECOS PAC ID: 1759505308 Enrollment ID: I20140620002036 |
| Provider Name | Debra S Steel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285042473 PECOS PAC ID: 0941429229 Enrollment ID: I20140918001310 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20150310001946 |
| Provider Name | Kunal Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912189986 PECOS PAC ID: 5193859445 Enrollment ID: I20150421000795 |
| Provider Name | Jevede Damean Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154687127 PECOS PAC ID: 0749427847 Enrollment ID: I20150623002300 |
| Provider Name | Andrew D Moren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952667735 PECOS PAC ID: 1355588229 Enrollment ID: I20150729010287 |
| Provider Name | Ebele C Odonwodo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336331891 PECOS PAC ID: 4688861925 Enrollment ID: I20151013001057 |
| Provider Name | Derek M Sorensen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447416896 PECOS PAC ID: 4981742392 Enrollment ID: I20151223000763 |
| Provider Name | Sameer Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514051 PECOS PAC ID: 8921159765 Enrollment ID: I20160412002767 |
| Provider Name | Michael Ryan Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720320211 PECOS PAC ID: 2264666197 Enrollment ID: I20160615002342 |
| Provider Name | Miriam Atira Harewood-makola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558603746 PECOS PAC ID: 2264666239 Enrollment ID: I20160615002406 |
| Provider Name | Katherine Elaine House |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184966293 PECOS PAC ID: 2961646237 Enrollment ID: I20160629001895 |
| Provider Name | Amber L Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063850089 PECOS PAC ID: 8325279201 Enrollment ID: I20160719002654 |
| Provider Name | Daniel Lucian Butnariu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043402035 PECOS PAC ID: 1557455466 Enrollment ID: I20160927001784 |
| Provider Name | John Philip Markovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770903189 PECOS PAC ID: 2163649880 Enrollment ID: I20170522002746 |
| Provider Name | Surya Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154721025 PECOS PAC ID: 9133498777 Enrollment ID: I20170713000405 |
| Provider Name | Malavika Balachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215340559 PECOS PAC ID: 5294005443 Enrollment ID: I20170720000428 |
| Provider Name | Abhishek Kumar Mariswamy Arun Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225419443 PECOS PAC ID: 3375814635 Enrollment ID: I20170803003953 |
| Provider Name | Laura Skidmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689198566 PECOS PAC ID: 1254341282 Enrollment ID: I20170818002302 |
| Provider Name | John Muriithi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528486453 PECOS PAC ID: 4789803131 Enrollment ID: I20170908002020 |
| Provider Name | Rebecca Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447677638 PECOS PAC ID: 6507130176 Enrollment ID: I20170920001652 |
| Provider Name | Shakeel Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922084862 PECOS PAC ID: 6103848957 Enrollment ID: I20180508001905 |
| Provider Name | Folashade Oluwaseun Oyekunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780827618 PECOS PAC ID: 5799040069 Enrollment ID: I20180607002813 |
| Provider Name | Katie M Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205858040 PECOS PAC ID: 1153506316 Enrollment ID: I20180613002238 |
| Provider Name | Paul Obeng-okyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033504170 PECOS PAC ID: 9234442500 Enrollment ID: I20180613003177 |
| Provider Name | Farhan Rafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912387069 PECOS PAC ID: 6406159102 Enrollment ID: I20180626003828 |
| Provider Name | Julie E Garvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437644101 PECOS PAC ID: 9133477482 Enrollment ID: I20180802003824 |
| Provider Name | Ashley N Hotz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154749125 PECOS PAC ID: 1951624980 Enrollment ID: I20180827002266 |
| Provider Name | Lauren Danielle Sivley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576414 PECOS PAC ID: 5890046213 Enrollment ID: I20180925001800 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Renjini Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063809036 PECOS PAC ID: 2567714710 Enrollment ID: I20181016002872 |
| Provider Name | Lori E Bickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895789 PECOS PAC ID: 7911244843 Enrollment ID: I20190130001113 |
| Provider Name | Talia Rose Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700372091 PECOS PAC ID: 8527391648 Enrollment ID: I20190605000515 |
| Provider Name | Asheesh Bothra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194033548 PECOS PAC ID: 5496924896 Enrollment ID: I20190621001104 |
| Provider Name | Bindhu Sajay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134655350 PECOS PAC ID: 7012241227 Enrollment ID: I20190621001390 |
| Provider Name | Tonya Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528623097 PECOS PAC ID: 4981939865 Enrollment ID: I20190715002554 |
| Provider Name | Christopher Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197891 PECOS PAC ID: 7214206655 Enrollment ID: I20190813000977 |
| Provider Name | Kelly M Mccockran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427513795 PECOS PAC ID: 1254668254 Enrollment ID: I20190814001955 |
| Provider Name | Jacqueline Delaine Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285293142 PECOS PAC ID: 4284962432 Enrollment ID: I20190826001915 |
| Provider Name | Laura Sinda Chambers-kersh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407883630 PECOS PAC ID: 9931160165 Enrollment ID: I20190909001289 |
| Provider Name | Tarun Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992151807 PECOS PAC ID: 1850679440 Enrollment ID: I20190912001255 |
| Provider Name | Woo Jong Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629432471 PECOS PAC ID: 2264725365 Enrollment ID: I20190927002448 |
| Provider Name | Tsering Norbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174987226 PECOS PAC ID: 1153614268 Enrollment ID: I20191002003545 |
| Provider Name | Sneha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700232618 PECOS PAC ID: 5991076994 Enrollment ID: I20191003001251 |
| Provider Name | Yousef Ba Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851755623 PECOS PAC ID: 1052656329 Enrollment ID: I20191003002344 |
| Provider Name | Jane Ruth-ellen Oosthuizen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598124646 PECOS PAC ID: 1658602180 Enrollment ID: I20191014002288 |
| Provider Name | Adrien J Brutus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740634963 PECOS PAC ID: 5496048597 Enrollment ID: I20191025002056 |
| Provider Name | Benjamin J Hummel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487008041 PECOS PAC ID: 7810280914 Enrollment ID: I20191025002710 |
| Provider Name | Krisalyn R Swayze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508211152 PECOS PAC ID: 9739472846 Enrollment ID: I20191227001995 |
| Provider Name | Vicky L Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225673130 PECOS PAC ID: 5799110698 Enrollment ID: I20200123001198 |
| Provider Name | Chinedu Charles Ukemenam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265960124 PECOS PAC ID: 5395166805 Enrollment ID: I20200608002827 |
| Provider Name | Brandon Lee Mosely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669690 PECOS PAC ID: 3779905617 Enrollment ID: I20200622002208 |
| Provider Name | Jonathan Dennis Gaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821520792 PECOS PAC ID: 9335416171 Enrollment ID: I20200708001477 |
| Provider Name | Nadia Haller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801413307 PECOS PAC ID: 4183047012 Enrollment ID: I20200709003409 |
| Provider Name | Sharmila P Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023543410 PECOS PAC ID: 1355610833 Enrollment ID: I20200716003724 |
| Provider Name | Melissa Sue Einink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763855 PECOS PAC ID: 4082039276 Enrollment ID: I20200805001212 |
| Provider Name | Isaac Joseph Koh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699207894 PECOS PAC ID: 7810273000 Enrollment ID: I20200814000976 |
| Provider Name | Kelsey R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073051306 PECOS PAC ID: 0244502730 Enrollment ID: I20201022002575 |
| Provider Name | Nicole Marie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467054874 PECOS PAC ID: 6901217751 Enrollment ID: I20201130000919 |
| Provider Name | Brittany D Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922605732 PECOS PAC ID: 7719399229 Enrollment ID: I20201207001471 |
| Provider Name | Jonathan Michael Stofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285130070 PECOS PAC ID: 9537422985 Enrollment ID: I20210318002494 |
| Provider Name | Christopher Bryant Hendrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356702427 PECOS PAC ID: 5890086219 Enrollment ID: I20210419001805 |
| Provider Name | Erika Jayne Watamaniuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972184976 PECOS PAC ID: 9830508498 Enrollment ID: I20210511002223 |
| Provider Name | Jerika Ortlieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922505932 PECOS PAC ID: 5395008635 Enrollment ID: I20210621003156 |
| Provider Name | Gregory Kuertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790281624 PECOS PAC ID: 7315200789 Enrollment ID: I20210709000256 |
| Provider Name | Christopher Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306343470 PECOS PAC ID: 5890058945 Enrollment ID: I20210723002858 |
| Provider Name | Claire Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083101091 PECOS PAC ID: 5193089811 Enrollment ID: I20210922001540 |
| Provider Name | Melissa Dawn Fermier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578233748 PECOS PAC ID: 0143618520 Enrollment ID: I20211104001306 |
| Provider Name | Christopher Jay Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346903432 PECOS PAC ID: 8820488786 Enrollment ID: I20211208000874 |
| Provider Name | Amelia E Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154332112 PECOS PAC ID: 6608267299 Enrollment ID: I20211215000241 |
| Provider Name | Danielle R Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508526088 PECOS PAC ID: 8123410537 Enrollment ID: I20220114001940 |
| Provider Name | Charles T Swafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700537362 PECOS PAC ID: 3274926993 Enrollment ID: I20220201002541 |
| Provider Name | Lydiah B Caterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376208389 PECOS PAC ID: 6507259439 Enrollment ID: I20220216002890 |
| Provider Name | Michael I Jarman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588198840 PECOS PAC ID: 5395124259 Enrollment ID: I20220623000824 |
| Provider Name | Bana Alajati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891256855 PECOS PAC ID: 9032590302 Enrollment ID: I20220718002154 |
| Provider Name | Matthew Yeager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083176697 PECOS PAC ID: 4880935972 Enrollment ID: I20220729002704 |
| Provider Name | Samip J Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518288729 PECOS PAC ID: 9133368780 Enrollment ID: I20220810001990 |
| Provider Name | Claire M Godsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558857607 PECOS PAC ID: 8224464896 Enrollment ID: I20220817001955 |
| Provider Name | Erica C Seabold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932767142 PECOS PAC ID: 2769718428 Enrollment ID: I20220907000824 |
| Provider Name | Rohini Singh Chatterjee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134504699 PECOS PAC ID: 7810239084 Enrollment ID: I20230602000448 |
| Provider Name | Kishley Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457976656 PECOS PAC ID: 7113349234 Enrollment ID: I20230727003489 |
| Provider Name | Jyothsna Dasarathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104225713 PECOS PAC ID: 6709155203 Enrollment ID: I20230801000962 |
| Provider Name | Sarah Nicole Dula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447887922 PECOS PAC ID: 2567893266 Enrollment ID: I20230821001573 |
| Provider Name | Chiamaka Onah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637909 PECOS PAC ID: 5092177188 Enrollment ID: I20230822002455 |
| Provider Name | Alexander Nicholas Erskine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710476999 PECOS PAC ID: 0244685147 Enrollment ID: I20231012002898 |
| Provider Name | Marvin Iaed Amen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659909646 PECOS PAC ID: 0244669372 Enrollment ID: I20240516003621 |
| Provider Name | Sushma Edara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639749278 PECOS PAC ID: 8820535297 Enrollment ID: I20240802000939 |
| Provider Name | Muhammad S Mian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124336540 PECOS PAC ID: 5597994657 Enrollment ID: I20240805003799 |
| Provider Name | Crystal Marie Breighner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104268614 PECOS PAC ID: 6901124098 Enrollment ID: I20240816002131 |
| Provider Name | Wamunyima Akakulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033795596 PECOS PAC ID: 8921417700 Enrollment ID: I20240819000975 |
| Provider Name | Daniel Vernon Foster |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255764791 PECOS PAC ID: 5991044224 Enrollment ID: I20240822003397 |
| Provider Name | Tien Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073190468 PECOS PAC ID: 8729497557 Enrollment ID: I20241003003111 |
| Provider Name | Fatma A Alshantti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538992615 PECOS PAC ID: 0749712164 Enrollment ID: I20241010000540 |
| Provider Name | Lex Philip Leonhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386104024 PECOS PAC ID: 8527300334 Enrollment ID: I20250115001798 |
Kenvic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elizabeth Pl, Sixth Floor, Dayton, OH 45408 Phone: 937-222-5963 | |
Joseph S. Leithold, M.d., Llc 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 | |
Community Health Centers Of Greater Dayton 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 |