CLINIC MEDICAL SERVICES COMPANY (NPI# 1407259849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407259849 |
| Entity Type | Organization |
| Organization Name | CLINIC MEDICAL SERVICES COMPANY |
| Other Organization Name | CLEVELAND CLINIC STAR IMAGING DAYTON |
| Practice Address |
5529 Far Hills Ave Dayton OH 45429-2225 |
| Mailing Address |
6100 West Creek Rd Suite 35 Independence OH 44131 |
| Practice Telephone | 9374356674 |
| Mailing Telephone | 2166428165 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | MR. MICHAEL HARRINGTON (CHIEF ACCTING OFFICER & CONTROLLER) |
| Authorized Official Telephone | 2164458990 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cleveland Clinic STAR Imaging Dayton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215234976 | Clinic Medical Services Company | Radiology | 1449 Boardman Canfield Rd Ste 140, Boardman, OH 44512-8070 | 2011-02-16 |
| 1508024209 | Clinic Medical Services Company | Radiology | 1550 Kenny Rd, Columbus, OH 43212-2564 | 2008-05-29 |
| 1124286828 | Clinic Medical Services Company | Radiology | 921a Jasonway Ave, Columbus, OH 43214-2330 | 2008-05-29 |
| 1992963680 | Clinic Medical Services Company | Radiology | 652 Youngstown Warren Rd, Niles, OH 44446-4356 | 2008-05-29 |
| 1306145040 | Clinic Medical Services Company | Radiology | 6096 E Main St, Suite 100, Columbus, OH 43213-4302 | 2011-03-21 |
| 1659539344 | Clinic Medical Services Company | Radiology | 7067 Tiffany Blvd, Youngstown, OH 44514-1993 | 2008-05-29 |
| 1528013984 | Clinic Medical Services Company | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-05-24 |
| Street Address |
5529 FAR HILLS AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407183031 | Far Hills Open Mri Inc | Clinical Medical Laboratory | 5529 Far Hills Ave, Dayton, OH 45429-2225 | 2009-11-03 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184735854 | John Ellert Carlson | Radiology | 9764 Country Creek Way, Dayton, OH 45458-9242 | 2006-08-31 |
| 1043252026 | Rochelle Denise Hurt | Radiology | 9775 Greenside Ct, Dayton, OH 45458-6025 | 2006-06-12 |
| 1942259742 | David F Vanderburgh | Radiology | 1908 Coolidge Drive, Dayton, OH 45419 | 2006-05-09 |
| 1447236377 | Victor L Perez | Radiology | 2591 Miamisburg Centerville Rd Ste 302, Dayton, OH 45459 | 2005-12-22 |
| 1205819125 | Bradley Alan Weber | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2005-11-23 |
| 1295728251 | Norman E Pennington | Radiology | 3195 Dayton Xenia Rd, Suite 900-123, Dayton, OH 45434-6390 | 2005-08-25 |
| 1033538426 | Austin Peters | Radiology | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2014-04-14 |
| 1700142726 | Nishanta Bikram Baidya | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2012-04-03 |
| 1548595382 | Jarrod Dean Curry | Radiology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2009-10-13 |
| 1033350814 | Neil A Lester | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2009-03-09 |
| 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.