DR. MOLLY A TATUM (NPI# 1043597404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043597404 |
| Entity Type | Individual |
| Full Name | DR. MOLLY A TATUM |
| Other Name | DR. MOLLY A MCGRAW |
| Credential | D.O. |
| Practice Address |
3205 Woodman Dr Dayton OH 45420-1143 |
| Practice Telephone | 9372984417 |
| Practice Fax Number | 9372988260 |
| Mailing Telephone | (937) 298-4417 |
| Mailing Fax Number | 9372988260 |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
34.012776 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272217 | Molly Capell Tatum | Occupational Therapy Assistant | 502 E Race Ave, Searcy, AR 72143-4417 | 2020-07-08 |
| Street Address |
3205 WOODMAN DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346985 | Frank Peter Mannarino | Orthopaedic Surgery | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2005-06-20 |
| 1609305705 | Rachel Ann Burke | Nurse Practitioner | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2017-06-12 |
| 1699225748 | Heather Wilson | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2016-10-12 |
| 1386048619 | Christine Clegg | Registered Nurse | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2014-10-15 |
| 1962746347 | Ashley Maemichelle Graham | Physician Assistant | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2012-11-25 |
| 1922359843 | Sheela Patel | Physician Assistant | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2012-10-02 |
| 1053687657 | Chelsea Marie Mozel | Specialist/Technologist | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2012-03-28 |
| 1376775155 | Paul Michael Singleton | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2009-08-13 |
| 1609017797 | Kathryn Oglesbee | Registered Nurse | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2009-03-19 |
| 1720224736 | Nathan E Burke | Specialist/Technologist, Other | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2008-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063815751 | Wright State University | Orthopaedic Surgery | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2014-10-08 |
| 1851423545 | Dayton Orthopaedic Surgery & Sports Medicine Center | Orthopaedic Surgery | 5491 Far Hills Ave, Dayton, OH 45429-2325 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1790281517 | Mercy Health Physicians Cincinnati LLC | Orthopaedic Surgery | 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 | 2018-04-02 |
| 1952817413 | Caitlin Elisabeth Lefevre | Orthopaedic Surgery | 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 | 2017-12-20 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1699020206 | Benjamin D. Richman | Orthopaedic Surgery | 245 Meadowood Ln, Moreland Hills, OH 44022-1342 | 2012-07-19 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
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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.