VISIONARY HEALTH BY M2C (NPI# 1245724236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245724236 |
| Entity Type | Organization |
| Organization Name | VISIONARY HEALTH BY M2C |
| Other Organization Name | MARANATHA MEDICAL CENTER |
| Practice Address |
5900 N Main St Dayton OH 45415-3150 |
| Practice Telephone | 9372713250 |
| Mailing Telephone | 9372713250 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MARTHA MONICA CORRADINE (OWNER) |
| Authorized Official Telephone | 9372713250 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | CO4083015 | 01 |
| OH | 2052380 | 05 |
| Other Name | Type Code |
|---|---|
| Maranatha Medical Center | Doing Business As Name - Organization |
| Street Address |
5900 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053420612 | Eric Stanley Nordin | Family Medicine | 5900 N Main St, Dayton, OH 45415-3150 | 2006-08-29 |
| 1306383153 | Revention Medicine | Non-Pharmacy Dispensing Site | 5900 N Main St, Dayton, OH 45415-3150 | 2017-01-31 |
| 1942655477 | Eye Physicians & Facial Plastic Surgery, LLC | Ophthalmology | 5900 N Main St, Dayton, OH 45415-3150 | 2016-05-03 |
| 1255526471 | Shiloh Family Medicine LLC | Family Medicine | 5900 N Main St, Dayton, OH 45415-3150 | 2007-09-11 |
| 1780753707 | Everett Jan Wilson | Family Medicine | 5900 N Main St, Dayton, OH 45415-3150 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1043746506 | American Current Care of Ohio Pa Co | Clinic/Center | 1435 Cincinnati St Ste 100, Dayton, OH 45417-4614 | 2017-05-03 |
| 1538548391 | Heartland Therapeutics | Clinic/Center | 8658 N Main St, Dayton, OH 45415-1328 | 2015-05-27 |
| 1073755575 | Tennessee Valley Clinic of Chiropractic PC | Clinic/Center | 304 1st Ave, Dayton, TN 37321-1290 | 2009-03-30 |
| 1174602254 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 228 Troy St, Dayton, OH 45404-1831 | 2006-11-02 |
| 1700312261 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1435 Cincinnati St, Suite 100, Dayton, OH 45417-4614 | 2017-05-03 |
| 1053386102 | Dayton Osteopathic Hospital | Clinic/Center | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45459-3859 | 2006-02-22 |
| 1679548739 | Dayton Osteopathic Hospital | Clinic/Center | 2351 Stanley Ave, Dayton, OH 45404-1201 | 2006-02-22 |
| 1386619245 | Dayton Osteopathic Hospital | Clinic/Center | 405 W Grand Ave, Dayton, OH 45405-4720 | 2006-02-22 |
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| 1679106850 | Healthy Kneads Massage Therapy LLC | Clinic/Center | 5810 Southwyck Blvd Ste 100e, Toledo, OH 43614-1514 | 2020-02-17 |
| 1093350951 | Fresh Start Behavioral Health Inc | Clinic/Center | 1909 S Alex Rd, West Carrollton, OH 45449-4001 | 2019-11-14 |
| 1831740406 | Independent Np Med Services LLC | Clinic/Center | 15539 Saranac Rd, Cleveland, OH 44110-2458 | 2019-09-25 |
| 1689227811 | Spreading Activation Technologies, LLC | Clinic/Center | 5412 Courseview Dr Ste 210, Mason, OH 45040-2355 | 2019-07-17 |
| 1801458443 | North Linden Health & Wellness Services LLC | Clinic/Center | 1414 Oakland Park Ave, Columbus, OH 43224-3507 | 2019-07-03 |
| 1184283962 | Vitality Health LLC | Clinic/Center | 2211 Crocker Rd Ste 170, Westlake, OH 44145-7603 | 2019-06-06 |
| 1194292912 | Occupational Health Centers of Ohio, Pa Co | Clinic/Center | 7010 Spring Meadows Dr W Ste 101, Holland, OH 43528-8137 | 2018-10-30 |
| 1295220424 | Shanteya Cunningham | Clinic/Center | 3481 Robb Ave, Cincinnati, OH 45211-5340 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.