MIAMI VALLEY HOSPITAL (NPI# 1043380454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043380454 |
| Entity Type | Organization |
| Organization Name | MIAMI VALLEY HOSPITAL |
| Other Organization Name | MIAMI VALLEY HOSPITAL - REHAB |
| Practice Address |
1 Wyoming St Dayton OH 45409-2722 |
| Practice Telephone | 9372088000 |
| Practice Fax Number | 9374997813 |
| Mailing Telephone | 9372088000 |
| Mailing Fax Number | 9374997813 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | MR. SCOTT A. SHELTON (VP FINANCE) |
| Authorized Official Telephone | 9372082530 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIAMI VALLEY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 5935608 | 05 |
| Other Name | Type Code |
|---|---|
| Miami Valley Hospital - Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578997789 | Miami Valley Hospital | General Acute Care Hospital | 5585 Liberty Pass Dr, Liberty Twp, OH 45044-8791 | 2013-08-23 |
| 1578902870 | Miami Valley Hospital | General Acute Care Hospital | 1800 E Shelby St, Seattle, WA 98112-2022 | 2013-06-19 |
| 1518212562 | Miami Valley Hospital | General Acute Care Hospital | 1 Wyoming St, Dayton, OH 45409-2722 | 2012-07-16 |
| 1962766063 | Miami Valley Hospital | General Acute Care Hospital | 1 Wyoming St, Dayton, OH 45409-2722 | 2012-07-03 |
| 1497011050 | Miami Valley Hospital | General Acute Care Hospital | 1 Wyoming St, Dayton, OH 45409-2722 | 2012-04-09 |
| 1023374899 | Miami Valley Hospital | General Acute Care Hospital | 1 Wyoming St, Dayton, OH 45409-2722 | 2012-04-06 |
| 1619296738 | Miami Valley Hospital | General Acute Care Hospital | 1 Wyoming St, Dayton, OH 45409-2722 | 2010-05-28 |
| 1104070408 | Miami Valley Hospital | General Acute Care Hospital | One Wyoming Street, Dayton, OH 45409-2793 | 2008-11-13 |
| 1609034529 | Miami Valley Hospital | Nurse Practitioner | 1 Wyoming St, Suite 6250, Dayton, OH 45409-2722 | 2008-05-28 |
| 1073688354 | Miami Valley Hospital | General Acute Care Hospital | 1 Wyoming St, Dayton, OH 45409-2722 | 2006-11-21 |
| Street Address |
1 WYOMING ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134180 | Christopher Scott Croom | Obstetrics & Gynecology | 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 | 2005-06-16 |
| 1902412133 | Dustin Logan Warne | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-22 |
| 1356956965 | Yeri Noh | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-10 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1386257046 | Daryl Brown | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-08-24 |
| 1518578624 | Mary Goeller | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-12 |
| 1033720545 | Emily Newport | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-10 |
| 1447869433 | David Mark Peters Jr. | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-27 |
| 1376151787 | Zachary Sahadak | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| 1093323339 | Mckenzie Shenk | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| 1649298100 | Dayton Osteopathic Hospital | Rehabilitation Unit | 405 W Grand Avenue, Dayton, OH 45405-4720 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902957335 | Kathiet Greene, Md, Inc | Rehabilitation Unit | 30575 Euclid Ave, Wickliffe, OH 44092-1037 | 2007-01-14 |
| 1376641068 | Edwin Shaw Rehab, LLC | Rehabilitation Unit | 330 Broadway Street East, Cuyahoga Falls, OH 44221 | 2006-09-20 |
| 1740222009 | Aultman Hospital | Rehabilitation Unit | 2821 Woodlawn Ave Nw, Canton, OH 44708-1423 | 2006-06-12 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1083236921 | Knox Community Hospital | Rehabilitation Unit | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2020-05-14 |
| 1346896875 | Fort Hamilton Hospital | Rehabilitation Unit | 630 Eaton Ave, Hamilton, OH 45013 | 2019-08-12 |
| 1306312921 | The Toledo Hospital | Rehabilitation Unit | 5200 Harroun Rd, Sylvania, OH 43560-2196 | 2018-10-22 |
| 1245789981 | Mercy Health - Anderson Hospital, LLC | Rehabilitation Unit | 7500 State Rd, Cincinnati, OH 45255-2439 | 2016-09-22 |
| 1609251891 | Jewish Hospital LLC | Rehabilitation Unit | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2015-07-29 |
| 1497135412 | Selby General Hospital | Rehabilitation Unit | 1106 Colegate Dr, Marietta, OH 45750-1323 | 2015-06-04 |
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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.