ALLIANCE PHYSICIANS, INC. (NPI# 1235554650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235554650 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIANS, INC. |
| Other Organization Name | KETTERING SURGICAL ASSOCIATES |
| Practice Address |
1251 Nilles Rd Suite 17 Fairfield OH 45014-7206 |
| Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
| Practice Telephone | 9378297133 |
| Practice Fax Number | 9378297134 |
| Mailing Telephone | 9377522306 |
| Mailing Fax Number | 9375227626 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | TIMOTHY Y KO (CFO) |
| Authorized Official Telephone | 9375583223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kettering Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548621311 | Alliance Physicians, Inc. | Orthopaedic Surgery | 6645 Morris Rd, Hamilton, OH 45011-5417 | 2016-03-08 |
| 1811358682 | Alliance Physicians, Inc. | Family Medicine | 4441 Far Hills Ave, Kettering, OH 45429-2405 | 2016-03-08 |
| 1972963932 | Alliance Physicians, Inc. | Orthopaedic Surgery | 840 Nw Washington Blvd, Suite A, Hamilton, OH 45013-6384 | 2016-03-03 |
| 1306235114 | Alliance Physicians, Inc. | Psychiatry & Neurology | 3095 Dayton Xenia Rd, Suite 900, Beavercreek, OH 45434-4305 | 2015-01-16 |
| 1689077364 | Alliance Physicians, Inc. | Clinic/Center | 8701 Old Troy Pike, Huber Heights, OH 45424-1066 | 2014-10-08 |
| 1750784435 | Alliance Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 8701 Old Troy Pike, Huber Heights, OH 45424-1066 | 2014-10-08 |
| 1902220437 | Alliance Physicians, Inc. | Surgery | 244 Wilson Dr, Xenia, OH 45385-1864 | 2014-02-04 |
| 1871930917 | Alliance Physicians, Inc. | Family Medicine | 825 N. Main St., Suite 140, Springboro, OH 45066 | 2013-05-30 |
| 1144577115 | Alliance Physicians, Inc. | Family Medicine | 50 N Progress Dr, Xenia, OH 45385-2666 | 2012-08-09 |
| 1922355999 | Alliance Physicians, Inc. | Internal Medicine | 945 Deis Dr, Fairfield, OH 45014-8130 | 2012-08-09 |
| Street Address |
1251 NILLES RD SUITE 17 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353484 | Mel Keith Gross | Audiologist | 1251 Nilles Rd, Ste 7, Fairfield, OH 45014-7206 | 2005-08-10 |
| 1023470580 | John A Roflow | Counselor | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2016-03-24 |
| 1962876003 | Gregory Wayne Pratt | Social Worker | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2015-11-29 |
| 1881087971 | Sarah Boettner | Counselor | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2015-03-12 |
| 1467864249 | Kathleen E Bosse | Counselor | 1251 Nilles Rd, Unit 5, Fairfield, OH 45014-7206 | 2014-05-28 |
| 1982035200 | Sherrie Ann Kleinholz | Counselor | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2013-12-12 |
| 1609117761 | Rehab Advantage, L.L.C. | Physical Therapy Assistant | 1251 Nilles Rd, Unit 20, Fairfield, OH 45014-7206 | 2013-03-13 |
| 1386984524 | Kimberly S Britton | Counselor | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2013-02-26 |
| 1447599840 | Jacquelin M Dimenna | Counselor | 1251 Nilles Rd, Clock Tower Place, Suite 5, Fairfield, OH 45014-7206 | 2013-02-05 |
| 1770836306 | Linda Beth Fabe | Counselor | 1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206 | 2012-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807161 | New Jersey Vascular LLC | Surgery | 410 Us Highway 46, Fairfield, NJ 07004-1972 | 2020-09-30 |
| 1457625055 | North Bay Cardiac Thoracic and Vascular Surgery Inc | Surgery | 1860 Pennsylvania Ave, Suite 110, Fairfield, CA 94533-3590 | 2012-02-28 |
| 1124346481 | Andrew Raymond Baxter | Surgery | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2010-05-12 |
| 1841493913 | Brian N King | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2007-06-07 |
| 1700825593 | James V Lettera | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-06-06 |
| 1063451201 | Paul Dean Demartini | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-06-05 |
| 1477508778 | Seth Barak Blattman | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-05-24 |
| 1396790960 | Leslie Mark Kutcher | Surgery | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
| 1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
| 1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
| 1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
| 1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
| 1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
| 1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
| 1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
| 1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
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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.