ALLIANCE PHYSICIAN INC (NPI# 1356622054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356622054 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIAN INC |
| Other Organization Name | GRANDVIEW ONCOLOGY CLINIC |
| Practice Address |
405 W Grand Ave 4th Floor Dayton OH 45405-4720 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9375583500 |
| Practice Fax Number | 9375583507 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 9375583222 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE PHYSICIAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712872 | 05 |
| Other Name | Type Code |
|---|---|
| Grandview Oncology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821160243 | Alliance Physician Inc | Family Medicine | 4403 Far Hills Ave, Kettering, OH 45429-2405 | 2006-11-14 |
| 1891077194 | Alliance Physician Inc | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 | 2011-09-13 |
| 1285916585 | Alliance Physician Inc | Psychiatry & Neurology | 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 | 2011-09-13 |
| 1598047813 | Alliance Physician Inc | Orthopaedic Surgery | 2350 Miami Valley Dr, Suite 320, Centerville, OH 45459-4000 | 2011-09-13 |
| 1275815672 | Alliance Physician Inc | Internal Medicine | 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 | 2011-09-13 |
| 1710269113 | Alliance Physician Inc | Obstetrics & Gynecology | 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 | 2011-09-13 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679855985 | Alliance Physician Inc | Urology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3953 | 2011-09-13 |
| Street Address |
405 W GRAND AVE 4TH FLOOR |
| City | DAYTON |
| State | OH |
| Zip Code | 45405-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767758 | Edward Ewing | Pathology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2005-06-01 |
| 1316559065 | Ashton Vandyke | Pharmacist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-23 |
| 1740892132 | Garrett Thomason | Registered Nurse | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-18 |
| 1558971291 | Kaitlyn Copeland | Nurse Practitioner | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-07 |
| 1093335176 | Ashley Nicole Howell | Surgery | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-20 |
| 1669091310 | Jody Marie Anderson | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-13 |
| 1326677501 | Andrea Lynn Forray | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-08 |
| 1275162893 | Kelsey Quin | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-06 |
| 1790314417 | Tsedey Biru Juka | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-04 |
| 1962031716 | Pratik Wagle | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252613 | Christina Giuffrida | Student in an Organized Health Care Education/Training Program | Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 | 2018-04-13 |
| 1740718410 | Iain William Decker | Student in an Organized Health Care Education/Training Program | 330 Forest Ave, Dayton, OH 45405 | 2017-05-25 |
| 1144779000 | Horizon Home Healthcare Service, LLC | Home Health | 201 Riverside Dr Ste 2h, Dayton, OH 45405 | 2016-10-03 |
| 1629347695 | Grandview Hospital | General Acute Care Hospital | 405 West Grand Avenue, Dayton, OH 45405 | 2011-12-21 |
| 1962712265 | Lakisha L Barber | Licensed Practical Nurse | 2039 Rustic Road, Dayton, OH 45405 | 2010-10-20 |
| 1457685232 | Sally Ann Easton | Occupational Therapy Assistant | 1390 King Tree Drive, Dayton, OH 45405 | 2009-09-25 |
| 1083848535 | Azeem Z. Vasi | Otolaryngology | 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 | 2009-05-13 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1003989807 | Han Mok Yang | Internal Medicine | 3213 North Main Street, Dayton, OH 45405 | 2006-11-17 |
| Find all providers in zip 45405 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093765158 | Robert N Raju | Internal Medicine | 1191 Walnut Valley Ln, Dayton, OH 45458-9583 | 2006-05-11 |
| 1215927520 | Stuart A Merl | Internal Medicine | 10060 Simms Station Rd, Dayton, OH 45458-9656 | 2005-10-27 |
| 1508471376 | Oncology Hematology Care, Inc | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2020-09-09 |
| 1518156983 | Hematology & Oncology of Dayton, Inc. | Internal Medicine | 9000 N Main St Ste G-36, Dayton, OH 45415-1183 | 2007-10-22 |
| 1649281080 | Michael Alan Baumann | Internal Medicine | 4100 W 3rd St, Medicine (111w), Dayton, OH 45428-9000 | 2006-08-11 |
| 1023058427 | Mark D Romer | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2006-06-07 |
| 1407895535 | John J Haluschak | Internal Medicine | 9000 N Main St, Suite G36, Dayton, OH 45415-1180 | 2006-06-05 |
| 1083664023 | Ketan S. Shah | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2006-05-11 |
| 1700854239 | Florin D Andreca | Internal Medicine | 4881 Sugar Maple Dr, Dayton, OH 45433 | 2006-03-10 |
| 1649261470 | Medical Oncology-hematology Associates Inc. | Internal Medicine | 1 Elizabeth Pl, 10 Th Floor Suite 10b, Dayton, OH 45417-3445 | 2005-11-01 |
| Find all providers in DAYTON | ||||
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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.