KRISTINE A SCORDO (NPI# 1063524239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063524239 |
Entity Type | Individual |
Full Name | KRISTINE A SCORDO |
Credential | NP |
Practice Address |
4000 Miamisburg Centerville Rd Suite 100 Miamisburg OH 45342-7615 |
Practice Telephone | 9376439939 |
Practice Fax Number | 9376439949 |
Mailing Telephone | 9376439939 |
Mailing Fax Number | 9376439949 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-05-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
COA05877NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN146504 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 3138509 | 05 |
Street Address |
4000 MIAMISBURG CENTERVILLE RD SUITE 100 |
City | MIAMISBURG |
State | OH |
Zip Code | 45342-7615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982608410 | Daniel J Keane | Podiatrist | 4000 Miamisburg Centerville Rd, Ste 201, Miamisburg, OH 45342-3758 | 2005-06-13 |
1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
1326674318 | Sara Van Woerkom | Speech-Language Pathologist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-03-21 |
1063078749 | Impact Physician Group, Ohio, LLC | Internal Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2019-05-17 |
1336650423 | Ian Muncy | Pharmacist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-10-17 |
1962927814 | Amy Rolfes | Physical Therapist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-08-11 |
1285094359 | Midwest Hyperbaric Physicians, Inc. | Preventive Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2016-03-02 |
1740654490 | Sarah Kaufman | Physician Assistant | 4000 Miamisburg Centerville Rd, Suite 207, Miamisburg, OH 45342-7615 | 2015-11-18 |
1992197503 | Dayton Physicians, LLC | Urology | 4000 Miamisburg Centerville Rd, Suite 405, Miamisburg, OH 45342-7615 | 2015-02-19 |
1184040149 | Theresa Zwiesler | Nurse Practitioner | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2014-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
Find all providers in zip 45342 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
Find all providers with the same taxonomy |
City | MIAMISBURG |
Zip Code | 45342 |
Please comment or provide details below to improve the information on KRISTINE A SCORDO.
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.