DR. JODY LEE SHORT (NPI# 1053527523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053527523 |
| Entity Type | Individual |
| Full Name | DR. JODY LEE SHORT |
| Credential | D.O. |
| Practice Address |
1975 Miamisburg Centerville Rd Dayton OH 45459-3811 |
| Practice Telephone | 9374396186 |
| Practice Fax Number | 9374396189 |
| Mailing Telephone | 9374396186 |
| Mailing Fax Number | 9374396189 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
PENDING | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NPI | 1053527523 | 01 |
| Street Address |
1975 MIAMISBURG CENTERVILLE RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45459-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386050821 | Drew William Dula | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459 | 2014-07-04 |
| 1376758797 | Michelle Ray Noel | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-05-10 |
| 1750506457 | Rajinder Pal Singh | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-04-16 |
| 1376535898 | Scott Alan Murray | Physical Medicine & Rehabilitation | 1975 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073610994 | John B Terry | Psychiatry & Neurology | 30 E Apple St, Suite 5254, Dayton, OH 45409-2939 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649657396 | Farzan Ghodsianzadeh | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Cincinnati, OH 45267-3900 | 2015-05-01 |
| 1437543345 | Nicholas Liaw | Psychiatry & Neurology | 2213 Cherry St Ste M200, Toledo, OH 43608-2603 | 2015-03-28 |
| 1629208798 | Omran B Kaskar | Psychiatry & Neurology | 3535 Olentangy River Rd Ste S1501, Columbus, OH 43214-3908 | 2009-07-22 |
| 1295960086 | Alex Perchuk | Psychiatry & Neurology | 990 S Prospect St Ste 2, Marion, OH 43302-6283 | 2009-05-21 |
| 1528012283 | Joao Antonio Gomes | Psychiatry & Neurology | 3021 Pine Trails Cir, Hudson, OH 44236-1598 | 2006-05-19 |
| 1073925038 | Nikita Dedhia | Psychiatry & Neurology | 3535 Olentangy River Rd Ste S1501, Columbus, OH 43214-3908 | 2014-05-27 |
| 1790121895 | Vieh Kung | Psychiatry & Neurology | 2130 W Central Ave, Toledo, OH 43606 | 2013-05-15 |
| 1124360474 | Aaron Isaac Loochtan | Psychiatry & Neurology | 3535 Olentangy River Rd Ste S1501, Columbus, OH 43214 | 2013-03-25 |
| 1316203813 | Andrew Blake Buletko | Psychiatry & Neurology | 9500 Euclid Ave, Cleveland, OH 44195 | 2012-04-09 |
| 1851576193 | Muhammad Shazam Hussain | Psychiatry & Neurology | 9500 Euclid Ave, S-80, Cleveland Clinic, Cleveland, OH 44195-0001 | 2008-01-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JODY LEE SHORT.
| 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.