INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC (NPI# 1023311990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023311990 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC |
| Practice Address |
9000 N Main St Infusion Services Dayton OH 45415-1180 |
| Mailing Address |
Po Box 652 Springboro OH 45066-0652 |
| Practice Telephone | 9372795803 |
| Practice Fax Number | 9372795873 |
| Mailing Telephone | 9378850464 |
| Mailing Fax Number | 9378850464 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | DR. TIMOTHY B. SORG (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9378850464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35-05-3064 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
9000 N MAIN ST INFUSION SERVICES |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425443 | Abdelhamed I Abdelhamed | Internal Medicine | 9000 N Main St, Ste 101, Dayton, OH 45415-1180 | 2005-05-31 |
| 1952893299 | Alan Ayette | Pharmacy | 9000 N Main St, Mvhn Inpatient Pharmacy, Dayton, OH 45415 | 2018-06-02 |
| 1689165896 | Bonnie Homan Tangeman | Pharmacist | 9000 N Main St, Dayton, OH 45415-1180 | 2018-05-23 |
| 1275022709 | Karen Ann Hartman | Pharmacist | 9000 N Main St, Retail Pharmacy, Dayton, OH 45415 | 2018-05-10 |
| 1699177329 | Christopher Groff | Physician Assistant | 9000 N Main St, Ste 227, Dayton, OH 45415-1180 | 2014-09-25 |
| 1609297134 | Pfdental Reddy Inc | Dentist | 9000 N Main St, Ste 207, Dayton, OH 45415-1180 | 2013-12-31 |
| 1497190029 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 9000 N Main St, Suite 203, Dayton, OH 45415-1180 | 2013-05-09 |
| 1518209618 | Samaritan Family Care Inc | Family Medicine | 9000 N Main St, Ste 238, Dayton, OH 45415-1180 | 2013-03-27 |
| 1912246034 | Samaritan Family Care, Inc | Surgery | 9000 N Main St, Dayton, OH 45415-1180 | 2013-02-08 |
| 1013272616 | Carla Renee King | Advanced Practice Midwife | 9000 N Main St, Suite 232, Dayton, OH 45415-1180 | 2012-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669895660 | Harrison Bradford Hawley | Internal Medicine | 6761 Trailview Dr, Dayton, OH 45414-2165 | 2014-01-27 |
| 1538450580 | Infectious Disease Physicians, LLC | Internal Medicine | 3864 Maple Grove Ln, Dayton, OH 45440-4502 | 2011-04-26 |
| 1629034962 | William Grant Starrett | Internal Medicine | 30 E Apple St Ste 6221, Dayton, OH 45409-2939 | 2006-04-25 |
| 1992056113 | Premier Health Specialists Inc | Internal Medicine | 2200 Philadelphia Dr, 3rd Fl, Dayton, OH 45406-1840 | 2012-09-27 |
| 1174899967 | Nerine Tess Vincent | Internal Medicine | 30 E Apple St Ste 6221, Dayton, OH 45409-2939 | 2012-03-27 |
| 1831354554 | Premier Health Specialists Inc | Internal Medicine | 1222 S Patterson Blvd, Suite 120, Dayton, OH 45402-2684 | 2008-07-22 |
| 1750584744 | Satish Kumar Sarvepalli | Internal Medicine | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2007-06-07 |
| 1902966690 | Hari Momir Polenakovik | Internal Medicine | 1222 S Patterson Blvd, Suite 230, Dayton, OH 45402-2684 | 2006-12-11 |
| 1598771115 | Jonathan G. Pope | Internal Medicine | 30 E Apple St Ste 6221, Dayton, OH 45409-2939 | 2006-08-01 |
| 1720044381 | John S Czachor | Internal Medicine | 1222 S Patterson Blvd, Ste 230, Dayton, OH 45402-2684 | 2006-04-24 |
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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.