KETTERING MEDICAL CENTER


Address: 3535 Southern Blvd, Kettering, OH 45429-1221
Phone: 9373958448

KETTERING MEDICAL CENTER (NPI# 1366508657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366508657
Entity Type Organization
Organization Name KETTERING MEDICAL CENTER
Other Organization Name PRECIOUS BEGINNINGS HOME CARE
Practice Address 3535 Southern Blvd
Kettering
OH 45429-1221
Practice Telephone 9373958448
Mailing Telephone 9373958448
Enumeration Date 2006-12-29
Last Update Date 2008-04-08
Authorized Official Name BRETT SPENST (VP FINANCE AND OPERATIONS)
Authorized Official Telephone 9373958520
Is Organization Subpart Y
Parent Organization Name KETTERING MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QB0400X Clinic/Center
Specialization: Birthing
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 1015929 05

Other Provider/Organization Names

Other Name Type Code
Precious Beginnings Home Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629511688 Kettering Medical Center Pharmacy 3700 Southern Blvd Ste 105, Kettering, OH 45429-1226 2016-11-23
1790233195 Kettering Medical Center General Acute Care Hospital 524 Grants Trl, Centerville, OH 45459-3120 2016-09-14
1205005063 Kettering Medical Center Pharmacy 4301 Lyons Rd, Miamisburg, OH 45342 2008-02-26
1790859171 Kettering Medical Center Pharmacy 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342 2006-11-20
1396346946 Kettering Medical Center Rehabilitation Unit 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 2020-11-02
1467090670 Kettering Medical Center Clinic/Center 450b Washington Jackson Rd Ste 104, Eaton, OH 45320-7601 2019-12-18
1023587045 Kettering Medical Center General Acute Care Hospital 600 W Main St, Troy, OH 45373-2928 2018-11-20
1487016796 Kettering Medical Center Pharmacy 825 N Main St, Springboro, OH 45066-2100 2016-03-25
1871667253 Kettering Medical Center Pharmacy 3535 Southern Blvd, Kettering, OH 45429-1221 2006-11-20
1336257872 Kettering Medical Center Home Health 3535 Southern Blvd, Kettering, OH 45429-1221 2006-08-25

Office Location

Street Address 3535 SOUTHERN BLVD
City KETTERING
State OH
Zip Code 45429-1221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124183 David M Brouhard Anesthesiology 3535 Southern Blvd, Kettering, OH 45429-1221 2005-06-16
1245846757 Rachel Henderson Pharmacist 3535 Southern Blvd, Kettering, OH 45429-1221 2020-09-21
1235745043 Nipa Mukesh Patel Pharmacist 3535 Southern Blvd, Kettering, OH 45429-1298 2020-09-17
1104437425 Stephanie Elizabeth Nicholls Hospitalist 3535 Southern Blvd, Kettering, OH 45429-1221 2020-08-11
1346865144 Anesthesia Pearls, LLC Nurse Anesthetist, Certified Registered 3535 Southern Blvd, Kettering, OH 45429-1221 2020-06-08
1568087351 Pearl Lee Nurse Anesthetist, Certified Registered 3535 Southern Blvd, Kettering, OH 45429-1221 2020-06-08
1922631761 Michael Patrick Lorey Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2020-02-20
1801446315 Madison A Tate Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2019-09-17
1962058966 Joshua Caleb Courlas Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2019-08-15
1134775273 Jason Raymond Leigh Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2019-08-14
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 261QB0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Birthing

Taxonomy Definition

A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.
Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952920480 Community Birth Group Clinic/Center 631 N 7th St, Marietta, OH 45750-1935 2020-04-14
1154871929 Edge Medical Services Clinic/Center 5332 Springdale Rd, Cincinnati, OH 45251-1820 2016-10-05
1790159457 National Birth Centers, Inc Clinic/Center 3033 Riverside Dr, Cincinnati, OH 45226-1051 2015-11-18
1134464225 Mahoning Valley Birth Center LLC Clinic/Center 3622 Belmont Ave Ste 21, Youngstown, OH 44505-1444 2012-11-30
1598055402 Nature's Haven, LLC Clinic/Center 773 Townline Road 12, Greenwich, OH 44837-9131 2011-04-12
1447480223 Middlefield Care Center, Inc. Clinic/Center 14999 Lenny Dr, Middlefield, OH 44062-9466 2009-07-15
1851910384 Private Healthcare Facilities Clinic/Center 631 N 7th St, Marietta, OH 45750-1935 2020-04-14
1669025516 Private Healthcare Facilities Clinic/Center 5332 Springdale Rd, Cincinnati, OH 45251-1820 2019-07-19
1093379919 Restoring Our Own Through Transformation Clinic/Center 899 E Broad St, Columbus, OH 43205-1156 2019-04-25

Competitor

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City KETTERING
Zip Code 45429

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Dataset Information

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.

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