KELSEY SCUDERI


Address: 725 University Blvd, Dayton, OH 45435-0001
Phone: 9372457200

KELSEY SCUDERI (NPI# 1023481108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023481108
Entity Type Individual
Full Name KELSEY SCUDERI
Practice Address 725 University Blvd
Dayton
OH 45435-0001
Practice Telephone 9372457200
Practice Fax Number 9372457922
Mailing Telephone 9372457100
Mailing Fax Number 9372457999
Enumeration Date 2015-11-11
Last Update Date 2018-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
COA.17680-NP OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 725 UNIVERSITY BLVD
City DAYTON
State OH
Zip Code 45435-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114920329 Wright State Physicians Inc Dermatology 725 University Blvd, Dayton, OH 45435-0001 2005-05-23
1609405638 Emily Albanese Specialist/Technologist 725 University Blvd, Dayton, OH 45435-0001 2020-04-02
1184128969 Sally Jane Trout Specialist/Technologist 725 University Blvd, Dayton, OH 45435-0001 2018-03-19
1114383122 Carlie Clark Specialist/Technologist 725 University Blvd, Dayton, OH 45435-0001 2016-01-06
1700256096 Wright State University Specialist/Technologist 725 University Blvd, Dayton, OH 45435-0001 2015-09-30
1336528256 Kyra Dorney Specialist/Technologist 725 University Blvd, Dayton, OH 45435-0001 2015-05-26
1326473851 Christen Michelle Richardson Physician Assistant 725 University Blvd, Dayton, OH 45435-2939 2013-09-03
1164869368 Amber Elizabeth Smith Physical Therapy Assistant 725 University Blvd, Dayton, OH 45435-0001 2013-05-29
1154677631 Wright Health Inc Pharmacy 725 University Blvd, 2nd Floor, Dayton, OH 45435-0001 2012-08-02
1205197985 Wright State Physicians Inc Dermatology 725 University Blvd, Dayton, OH 45435-0001 2012-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538706940 Anthony Kelemen Student in an Organized Health Care Education/Training Program Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2019-12-04
1801444955 Ashley Elizabeth Murphy Student in an Organized Health Care Education/Training Program Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 2019-09-02
1659854370 Rachel Heckaman Student in an Organized Health Care Education/Training Program Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 2018-09-09
1508374547 Somer Leanne Yoho Student in an Organized Health Care Education/Training Program 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2018-01-11
1689180622 Jerie Johanna Bolin Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2017-12-28
1578079810 Heather Ann Felerski Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 2017-12-22
1154771392 Abigail Ngayan Counselor 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 2016-06-19
1144512799 Adam Horseman Specialist/Technologist 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 2011-05-13
1790999589 Luis Tony Ortiz Specialist/Technologist 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 2007-05-10
1164037446 Jaden D Johnson Student in an Organized Health Care Education/Training Program 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 2020-09-13
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558971291 Kaitlyn Copeland Nurse Practitioner 405 W Grand Ave, Dayton, OH 45405-7538 2020-08-07
1710402433 Huijie Zhang Nurse Practitioner 30 E Apple St Ste Nw3300, Dayton, OH 45409 2017-08-03
1568566883 Linda K Mosel Nurse Practitioner 4100 W 3rd St, Dayton, OH 45428-9000 2006-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083174 Sophia Denise Moncrieffe-jordan Nurse Practitioner 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 2020-11-03
1649879032 Danielle Wines Nurse Practitioner 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 2020-10-19
1881292902 Karen Cooper Nurse Practitioner 730 A Kittle Road, Wheelersburg, OH 45694 2020-10-12
1659983252 Michael A. Adams Nurse Practitioner 3837 Washington Blvd, University Heights, OH 44118-3158 2020-08-17
1912516709 Susan Marie Hessey Nurse Practitioner 4502 Satinwood Dr, Toledo, OH 43623-3350 2020-07-28
1518585728 Diane Louise Lamb Nurse Practitioner 3163 Hook Waltz Rd E, Elida, OH 45807-9555 2020-07-14
1215553052 Jennifer Cordray Nurse Practitioner 5452 Grace Dr, Mentor, OH 44060-1500 2020-06-17
1053943134 Chunyan Mcelroy Nurse Practitioner 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 2020-02-06
1790324432 Ashley Nicole Neely Nurse Practitioner 890 Oakwood Dr, Alliance, OH 44601-5435 2019-12-28
1710530357 Christine Marie Hoover Nurse Practitioner 65 Community Rd Ste C, Tallmadge, OH 44278-2358 2019-07-23
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Competitor

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City DAYTON
Zip Code 45435

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Dataset Information

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.

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