DAYTON CHILDREN'S HOSPITAL (NPI# 1407377500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407377500 |
| Entity Type | Organization |
| Organization Name | DAYTON CHILDREN'S HOSPITAL |
| Other Organization Name | DAYTON CHILDREN'S HOSPITAL REFERENCE LAB |
| Practice Address |
1 Childrens Plz Dayton OH 45404-1873 |
| Practice Telephone | 9376413000 |
| Practice Fax Number | 9376413326 |
| Mailing Telephone | 9376413000 |
| Mailing Fax Number | 9376415403 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | CHRIS BERGMAN (C.F.O.) |
| Authorized Official Telephone | 9376413338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
OH | Hospitals | |
| Y | 291U00000X | Clinical Medical Laboratory | OH | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 363306 | 01 | |
| OH | 0465509 | 05 |
| Other Name | Type Code |
|---|---|
| Dayton Children's Hospital Reference Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073848321 | Dayton Children's Hospital | Pediatrics | 3333 West Tech Road, Miamisburg, OH 45342 | 2009-10-05 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1366994584 | Dayton Children's Hospital | General Acute Care Hospital | 3333 West Tech Road, Miamisburg, OH 45342-0817 | 2016-11-04 |
| 1730392309 | Dayton Children's Hospital | Nurse Practitioner | 3333 W Tech Rd, Miamisburg, OH 45342-0955 | 2007-05-08 |
| 1669546081 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-11-17 |
| 1952480030 | Dayton Children's Hospital | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-11-02 |
| 1457379448 | Dayton Children's Hospital | General Acute Care Hospital | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-07-17 |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
| 1801368998 | Lucid Diagnostics Labs LLC | Clinical Medical Laboratory | 2611 Wayne Ave Ste 110, Dayton, OH 45420-1833 | 2018-12-30 |
| 1033578604 | Goldstar Laboratories Ohio LLC | Clinical Medical Laboratory | 4126 Linden Ave, Dayton, OH 45432-3018 | 2016-02-11 |
| 1407183031 | Far Hills Open Mri Inc | Clinical Medical Laboratory | 5529 Far Hills Ave, Dayton, OH 45429-2225 | 2009-11-03 |
| 1811172216 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 999 Brubaker Dr Ste 1, Dayton, OH 45429-3556 | 2008-01-03 |
| 1093892028 | Trusted Health Care, Inc. | Clinical Medical Laboratory | 325 Regency Ridge Dr, Dayton, OH 45459-4252 | 2006-11-01 |
| 1710944053 | Premier Integrated Medical Associates, Ltd | Clinical Medical Laboratory | 948 Patterson Rd, Dayton, OH 45419-4336 | 2006-04-28 |
| 1689173254 | Laboratory Corporation On America Holdings | Clinical Medical Laboratory | 400 Sugar Camp Cir Ste 200, Dayton, OH 45409-1981 | 2018-02-08 |
| 1114425535 | Dayton Pain Center LLC | Clinical Medical Laboratory | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-31 |
| 1578061370 | Cornerstone Project | Clinical Medical Laboratory | 4124 Linden Ave Ste 100, Dayton, OH 45432-3018 | 2018-01-26 |
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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.