DR. JODI LYNNE VAN JURA (NPI# 1023122157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023122157 |
| Entity Type | Individual |
| Full Name | DR. JODI LYNNE VAN JURA |
| Credential | M.D. |
| Practice Address |
4000 Miamisburg Centerville Rd Suite 410 Miamisburg OH 45342-7615 |
| Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
| Practice Telephone | 9373848773 |
| Practice Fax Number | 9373840794 |
| Mailing Telephone | 9377522305 |
| Mailing Fax Number | 9375227513 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
35079730 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2350950 | 05 |
| Street Address |
4000 MIAMISBURG CENTERVILLE RD SUITE 410 |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-7615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608410 | Daniel J Keane | Podiatrist | 4000 Miamisburg Centerville Rd, Ste 201, Miamisburg, OH 45342-3758 | 2005-06-13 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1326674318 | Sara Van Woerkom | Speech-Language Pathologist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-03-21 |
| 1063078749 | Impact Physician Group, Ohio, LLC | Internal Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2019-05-17 |
| 1336650423 | Ian Muncy | Pharmacist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-10-17 |
| 1962927814 | Amy Rolfes | Physical Therapist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-08-11 |
| 1285094359 | Midwest Hyperbaric Physicians, Inc. | Preventive Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2016-03-02 |
| 1740654490 | Sarah Kaufman | Physician Assistant | 4000 Miamisburg Centerville Rd, Suite 207, Miamisburg, OH 45342-7615 | 2015-11-18 |
| 1992197503 | Dayton Physicians, LLC | Urology | 4000 Miamisburg Centerville Rd, Suite 405, Miamisburg, OH 45342-7615 | 2015-02-19 |
| 1184040149 | Theresa Zwiesler | Nurse Practitioner | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217352 | Melissa Anne Peters | Family Medicine | 2041 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-26 |
| 1053941518 | Luciana Sonnenlitter | Family Medicine | 33703 Lake Rd, Avon Lake, OH 44012-1009 | 2020-01-23 |
| 1952950453 | Care Excellence LLC | Family Medicine | 3622 Belmont Ave Ste 20, Youngstown, OH 44505-1444 | 2019-09-06 |
| 1689027500 | Annemarie E Miller | Family Medicine | 26900 Cedar Rd. Beachwood Family Health & Surgery Cente, Beachwood, OH 44122 | 2016-07-15 |
| 1952708786 | Dr. Paul Wilson, Inc | Family Medicine | 440 S Reynolds Rd Ste B, Toledo, OH 43615-5900 | 2014-11-21 |
| 1568875409 | Integrated Healthcare LLC | Family Medicine | 222 Heathermere Loop, Galena, OH 43021-8053 | 2014-06-09 |
| 1184964389 | James William Ferraro II | Family Medicine | 750 E Broad St Ste 200, Columbus, OH 43205-1190 | 2013-02-25 |
| 1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
| 1831418177 | Gary Lowell Whitacre | Family Medicine | 5555 Scarborough Blvd, Columbus, OH 43232-4730 | 2010-05-26 |
| 1346579315 | Daniel Allen Franklin | Family Medicine | 3976 Sandtrap Cir, Mason, OH 45040-2171 | 2009-12-21 |
| Find all providers with the same taxonomy | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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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.