DAYTON VAMC (NPI# 1114318144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114318144 |
| Entity Type | Organization |
| Organization Name | DAYTON VAMC |
| Other Organization Name | DAYTON THIRD STREET VA MOBILE CLINIC |
| Practice Address |
4100 West Third Street Dayton OH 45428-9000 |
| Mailing Address |
Po Box 5385 Madison WI 53705-0385 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DAYTON THIRD STREET VA MOBILE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255357497 | Dayton Vamc | Military Hospital | 4100 West Third Street, Dayton, OH 45428 | 2006-07-14 |
| 1902845316 | Dayton Vamc | Clinic/Center | 1620 N Limestone St, Springfield, OH 45503-2624 | 2006-06-05 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| 1437106259 | Dayton Vamc | Clinic/Center | 750 West High Street, Suite 350, Lima, OH 45801-9998 | 2006-05-27 |
| 1447872833 | Dayton Vamc | Clinic/Center | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-05-08 |
| 1437540515 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-11 |
| 1649668732 | Dayton Vamc | Clinic/Center | 4100 W 3rd St, Dayton, OH 45428-9000 | 2014-12-26 |
| 1326156076 | Dayton Vamc | Military Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-08-25 |
| 1023056504 | Dayton Vamc | Clinic/Center | 4337 Union Rd, Middletown, OH 45005-5211 | 2006-06-04 |
| 1518916733 | Dayton Vamc | General Acute Care Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-05-06 |
| Street Address |
4100 WEST THIRD STREET |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255357497 | Dayton Vamc | Military Hospital | 4100 West Third Street, Dayton, OH 45428 | 2006-07-14 |
| 1437540515 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-11 |
| 1598910705 | Patricia Catlin Tatarzycki | Social Worker | 4100 West Third Street, Dayton, OH 45428-9000 | 2008-12-02 |
| 1184878845 | Donald Klamut | Pharmacist | 4100 West Third Street, Dayton, OH 45428 | 2008-11-07 |
| 1598978926 | Kristi Renee Smith | Physical Therapist | 4100 West Third Street, Dayton, OH 45428 | 2007-05-08 |
| 1619062981 | Maritha Joyce Trass | Physician Assistant | 4100 West Third Street, Dayton, OH 45428 | 2006-10-04 |
| 1134213655 | Susan Elizabeth Doubt | Nurse Practitioner | 4100 West Third Street, Dayton Va Medical Center, Dayton, OH 45428 | 2006-10-02 |
| 1255448791 | Rohanna A Edwards | Physician Assistant | 4100 West Third Street, Dayton, OH 45428 | 2006-08-23 |
| 1326062605 | Janet Underwood Sutherland | Social Worker | 4100 West Third Street, Dayton, OH 45428 | 2006-07-27 |
| 1285648204 | Frederick Santi Boldi | Nurse Anesthetist, Certified Registered | 4100 West Third Street, Dayton, OH 45428 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540515 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-11 |
| 1649668732 | Dayton Vamc | Clinic/Center | 4100 W 3rd St, Dayton, OH 45428-9000 | 2014-12-26 |
| 1063598670 | Dapartment of Veterans Affairs Medical Center | Clinic/Center | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-10-27 |
| 1447367891 | Maritza H Rivera | Clinic/Center | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734759 | Cincinnati Vamc | Clinic/Center | 4600 Smith Rd Ste A6, Norwood, OH 45212-2793 | 2019-01-22 |
| 1063800332 | Chillicothe Vamc | Clinic/Center | 17273 Sr 104, Chillicothe, OH 45601-9718 | 2015-01-08 |
| 1598153686 | Cleveland Vamc | Clinic/Center | 111 E Voris St, Akron, OH 44311-1513 | 2014-12-26 |
| 1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
| 1407264666 | Carla Joa Raymo | Clinic/Center | 5609 Baldoyle Way, Canal Winchester, OH 43110-7946 | 2014-07-31 |
| 1861809824 | Chillicothe Vamc | Clinic/Center | 448 West Main Street, Wilmington, OH 45177-2121 | 2014-07-22 |
| 1952718900 | Huntington Vamc | Clinic/Center | 323a Upper River Road, Gallipolis, OH 45631-1840 | 2014-07-22 |
| 1215344270 | Cleveland Vamc | Clinic/Center | 54 South State Street, Suite 204, Painesville, OH 44077-3445 | 2014-07-22 |
| 1417200023 | Cincinnati Vamc | Clinic/Center | 474 Home Street, Georgetown, OH 45121-1459 | 2012-10-19 |
| 1487926853 | Cleveland Vamc | Clinic/Center | 8701 Brookpark Rd, Parma, OH 44129-6809 | 2012-02-01 |
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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.