DAYTON VAMC (NPI# 1255357497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255357497 |
| Entity Type | Organization |
| Organization Name | DAYTON VAMC |
| Practice Address |
4100 West Third Street Dayton OH 45428 |
| Mailing Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 9372686511 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DENNIS MICHAEL MCKEE (SOCIAL WORKER) |
| Authorized Official Telephone | 9372686511 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | I0008528 | OH | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114318144 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114318144 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-12 |
| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871673624 | Veterans Affairs Medical Center | Military Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-10-16 |
| 1164516274 | Carol J Robinson | Military Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-10-03 |
| 1326156076 | Dayton Vamc | Military Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205221793 | Devon Jay Lehman Jr. | Military Hospital | 4631 Kohls Ct, West Chester, OH 45069-9189 | 2015-04-01 |
| 1295087906 | Nicole Schnabel Back | Military Hospital | 963 Springbrook Dr, Cincinnati, OH 45224-1666 | 2012-10-04 |
| 1144455783 | Louis Stokes Va Medical Center | Military Hospital | 2082 East 4th St Apt #401, Cleveland, OH 44115-1044 | 2009-05-27 |
| 1699899484 | Va Medical Center Cincinnati | Military Hospital | 3031 Eden Ave Apt 359, Cincinnati, OH 45219-2214 | 2007-03-19 |
| 1982054912 | Dva Cleveland | Military Hospital | 10701 East Blvd, Cleveland, OH 44106-1702 | 2016-06-21 |
| 1679958391 | Chillicothe Va Medical Center | Military Hospital | 17273 State Route 104, Bldg 35 C/o Pharmacy, Chillicothe, OH 45601-9718 | 2015-07-23 |
| 1558628784 | Louis Stokes Va Medical Center | Military Hospital | 10701 East Blvd, Cleveland, OH 44106-1702 | 2012-04-12 |
| 1386935880 | Louis Stokes Va Medical Center | Military Hospital | 10701 East Blvd, Cleveland, OH 44106-1702 | 2011-05-02 |
| 1962640623 | Karen Lynnette Emond | Military Hospital | 10000 Brecksville Rd, Brecksville, OH 44141 | 2009-02-03 |
| 1871744656 | Louis Stokes Cleveland Department of Veteran Affairs Medical Center | Military Hospital | 10701 East Blvd, Cleveland, OH 44106-1702 | 2008-10-09 |
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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.