DR. JENNIFER ANN MITTLESTEAD (NPI# 1295024131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295024131 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANN MITTLESTEAD |
| Other Name | MISS JENNIFER ANN SHIE |
| Credential | M.D. |
| Practice Address |
5701 Far Hills Ave Dayton OH 45429-2207 |
| Practice Telephone | 9374356222 |
| Mailing Telephone | 9374356222 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
35.125512 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP MEDICARE | 9271701 | 01 |
| OH | GROUP MEDICAID | 2147224 | 01 |
| Street Address |
5701 FAR HILLS AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356328439 | John Mark Shie | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2293 | 2005-12-29 |
| 1053602375 | Samantha Elizabeth Houser | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2011-04-20 |
| 1457653933 | Mollie Strauchon | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2010-12-03 |
| 1588977383 | Kelly L. Mccluskey, M.d., LLC | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2010-07-21 |
| 1790098507 | Shannon N. Mcafee, D.o., LLC | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2010-07-21 |
| 1215195144 | Christopher Joseph Strauchon | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2008-05-28 |
| 1609033125 | Shannon Nikole Mcafee | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2008-05-21 |
| 1588864870 | Caroline H Kennebeck Md Inc | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2007-07-24 |
| 1962602680 | Far Hills Ob Gyn Inc | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2007-07-20 |
| 1285766261 | Kelly Lynn Mccluskey-erskine | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023140274 | Holy Family Prenatal Care, LLC | Obstetrics & Gynecology | 359 Forest Ave Ste 202, Dayton, OH 45405-4559 | 2007-03-12 |
| 1902260904 | Katherine Cotangco | Obstetrics & Gynecology | 128 E Apple St Ste 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409-2902 | 2016-04-06 |
| 1548398761 | William R Dorsey D O Inc | Obstetrics & Gynecology | 2591 Miamisburg Centerville Rd, Ste 301, Dayton, OH 45459-3711 | 2007-03-01 |
| 1386621027 | Trisha Anne Pachiano | Obstetrics & Gynecology | 2591 Miamisburg Centerville Rd, Ste 201, Dayton, OH 45459-3711 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790050011 | Lauren Marie Fuller | Obstetrics & Gynecology | 210 Sharon Rd Ste C, Circleville, OH 43113-1498 | 2012-03-20 |
| 1568699387 | David K Jones | Obstetrics & Gynecology | 5175 Morse Rd Ste 300, Gahanna, OH 43230-3458 | 2009-06-19 |
| 1952576183 | Miami Valley Womens Care, Inc | Obstetrics & Gynecology | 759 Wessel Dr, Suite 1, Fairfield, OH 45014-3670 | 2008-04-29 |
| 1750565172 | Healthy Beginnings Inc | Obstetrics & Gynecology | 1608 Sundale Ave, Cincinnati, OH 45239-4946 | 2007-12-20 |
| 1043494453 | Healthy Beginnings Inc | Obstetrics & Gynecology | 636 Northland Blvd, Suite 250, Cincinnati, OH 45240-3221 | 2007-12-20 |
| 1699988998 | Columbus Metropolitan Ob. Gyn, Inc | Obstetrics & Gynecology | 1375 Cherry Way Dr Ste 100, Gahanna, OH 43230-8700 | 2007-05-07 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1861550972 | Healthy Beginnings, Inc. | Obstetrics & Gynecology | 47 E Hollister St, Suite 201, Cincinnati, OH 45219-1784 | 2006-12-04 |
| 1215029301 | Knox Gynecological Specialists | Obstetrics & Gynecology | 1320 Coshocton Ave, Mount Vernon, OH 43050-6400 | 2006-09-28 |
| 1194822171 | Bonnie J Howell | Obstetrics & Gynecology | 4466 Darrow Rd Ste 12, Stow, OH 44224-1891 | 2006-09-20 |
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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.