DEKALB MEMORIAL HOSPITAL, INC (NPI# 1346669546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346669546 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL HOSPITAL, INC |
| Other Organization Name | DEKALB HEALTH MEDICAL GROUP |
| Practice Address |
208 Columbus St Hicksville OH 43526-1250 |
| Mailing Address |
Po Box 623 Auburn IN 46706-0623 |
| Practice Telephone | 4195426692 |
| Mailing Telephone | 2609278105 |
| Mailing Fax Number | 2609278026 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | MS. PENNY LYNN GRIFFIN (CREDENTIALING) |
| Authorized Official Telephone | 2609202794 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DeKalb Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278824 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St Ste 103, Auburn, IN 46706-2533 | 2017-07-18 |
| 1871972869 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2015-05-22 |
| 1467843599 | Dekalb Memorial Hospital, Inc | Family Medicine | 1310 E 7th St, Suite C, Auburn, IN 46706-2534 | 2015-02-11 |
| 1962804559 | Dekalb Memorial Hospital, Inc | Otolaryngology | 433 W High Street, Bryan, OH 43506-1679 | 2014-09-25 |
| 1255768008 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite A, Auburn, IN 46706-2536 | 2013-10-10 |
| 1548505597 | Dekalb Memorial Hospital, Inc | Surgery | 1316 E 7th St, Suite 1, Auburn, IN 46706-2538 | 2012-12-03 |
| 1073886560 | Dekalb Memorial Hospital, Inc | Otolaryngology | 1310 E 7th St, Suite G, Auburn, IN 46706-2534 | 2012-02-15 |
| 1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
| 1053615187 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 | 2011-01-04 |
| 1114127834 | Dekalb Memorial Hospital, Inc | Pediatrics | 1314 E 7th St, Suite 204, Auburn, IN 46706-2533 | 2007-07-20 |
| Street Address |
208 COLUMBUS ST |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477549962 | Laverne L Miller | Family Medicine | 208 Columbus St, Hicksville, OH 43526-1250 | 2005-09-21 |
| 1104455344 | Elizabeth Heitmeyer | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2020-04-08 |
| 1255990180 | Samantha Jo Kimpel | Massage Therapist | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-06-13 |
| 1275090094 | Conner Yoder | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-02-28 |
| 1912480039 | Crystal M. Trabel | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1299 | 2018-09-14 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1033623962 | Julanne Marie Luderman | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-11-30 |
| 1891206272 | Angela Marie Newman | Social Worker | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-10-12 |
| 1952783821 | Natallia Lamantia | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2015-06-26 |
| 1598165888 | Tara Garza | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1386650141 | Ryan David Bagley | Chiropractor | 102 Old Mill Rd, Hicksville, OH 43526-1083 | 2006-08-01 |
| 1114188679 | Bagley Family Chiropractic, LLC | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2008-06-18 |
| 1033316419 | Brent A Roth Dc Inc | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2007-06-29 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679271 | Gustavo Guimaraes Rangel | Otolaryngology | 5317 Adventure Dr, Dublin, OH 43017-1001 | 2019-06-27 |
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1215401013 | Osup Clinical Physicians, LLC | Otolaryngology | 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 | 2019-01-15 |
| 1205319423 | Fadi Abbass Md | Otolaryngology | 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 | 2018-09-13 |
| 1033616107 | Dr. Scott W. Blumer LLC | Otolaryngology | 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 | 2018-04-06 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1841684222 | Hayley Lynn Born | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2015-03-24 |
| 1275943151 | Laura Miller | Otolaryngology | 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 | 2014-05-01 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
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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.