ALLIANCE PHYSICIAN INC (NPI# 1205118692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205118692 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIAN INC |
| Other Organization Name | SYCAMORE FAMILY MEDICINE |
| Practice Address |
4000 Miamisburg Centerville Rd Suite 410b Miamisburg OH 45342-7615 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9373840790 |
| Practice Fax Number | 9373840794 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 9375583222 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE PHYSICIAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712872 | 05 |
| Other Name | Type Code |
|---|---|
| Sycamore Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821160243 | Alliance Physician Inc | Family Medicine | 4403 Far Hills Ave, Kettering, OH 45429-2405 | 2006-11-14 |
| 1891077194 | Alliance Physician Inc | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 | 2011-09-13 |
| 1285916585 | Alliance Physician Inc | Psychiatry & Neurology | 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 | 2011-09-13 |
| 1598047813 | Alliance Physician Inc | Orthopaedic Surgery | 2350 Miami Valley Dr, Suite 320, Centerville, OH 45459-4000 | 2011-09-13 |
| 1275815672 | Alliance Physician Inc | Internal Medicine | 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 | 2011-09-13 |
| 1710269113 | Alliance Physician Inc | Obstetrics & Gynecology | 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 | 2011-09-13 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679855985 | Alliance Physician Inc | Urology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3953 | 2011-09-13 |
| Street Address |
4000 MIAMISBURG CENTERVILLE RD SUITE 410B |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093071144 | Angela A Adams-harrison | Family Medicine | 415 Byers Road Suite 300, Miamisburg, OH 45342-3263 | 2012-04-03 |
| 1801182738 | Ronald Suprenant | Family Medicine | 4000 Miamisburg-centerville Road, Suite 450, Miamisburg, OH 45342 | 2011-06-20 |
| 1427192863 | Alan Fark | Family Medicine | 1061 Decker Dr, Miamisburg, OH 45342-6415 | 2007-02-19 |
| 1376552133 | Michael F Bosworth | Family Medicine | 7 Stinton Ln, Miamisburg, OH 45342-6618 | 2006-08-07 |
| 1588606669 | Jennifer R. Hampton-montavon | Family Medicine | 1012 East Central Avenue, Miamisburg, OH 45342 | 2006-06-12 |
| 1366409328 | Rhea R Rowser | Family Medicine | 445 Byers Rd, Miamisburg, OH 45342-5398 | 2006-04-26 |
| 1346245289 | Verne Harold Dodson | Family Medicine | 1012 E Central Ave, Miamisburg, OH 45342-2556 | 2005-06-16 |
| 1790122307 | Saiyid-naufal T Zaidi | Family Medicine | 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 | 2013-05-23 |
| 1841556727 | Alliance Physicians Inc | Family Medicine | 2110 Leiter Rd, Miamisburg, OH 45342-3660 | 2012-04-05 |
| 1104193945 | Brooke Lynette Manocchio | Family Medicine | 2115 Leiter Rd, Miamisburg, OH 45342-3659 | 2011-11-22 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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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.