DAYTON VAMC (NPI# 1447872833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447872833 |
| Entity Type | Organization |
| Organization Name | DAYTON VAMC |
| Practice Address |
4881 Sugar Maple Dr Wright Patterson Afb OH 45433-5529 |
| Mailing Address |
Po Box 5385 Madison WI 53705-0385 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM LEAD) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WRIGHT PATTERSON AFB VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255357497 | Dayton Vamc | Military Hospital | 4100 West Third Street, Dayton, OH 45428 | 2006-07-14 |
| 1902845316 | Dayton Vamc | Clinic/Center | 1620 N Limestone St, Springfield, OH 45503-2624 | 2006-06-05 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| 1437106259 | Dayton Vamc | Clinic/Center | 750 West High Street, Suite 350, Lima, OH 45801-9998 | 2006-05-27 |
| 1114318144 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-12 |
| 1437540515 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-11 |
| 1649668732 | Dayton Vamc | Clinic/Center | 4100 W 3rd St, Dayton, OH 45428-9000 | 2014-12-26 |
| 1326156076 | Dayton Vamc | Military Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-08-25 |
| 1023056504 | Dayton Vamc | Clinic/Center | 4337 Union Rd, Middletown, OH 45005-5211 | 2006-06-04 |
| 1518916733 | Dayton Vamc | General Acute Care Hospital | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-05-06 |
| Street Address |
4881 SUGAR MAPLE DR |
| City | WRIGHT PATTERSON AFB |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442813 | Michael Anthony Salerno | Military Health Care Provider | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-18 |
| 1780209957 | Stacey O'donnell | Nurse Anesthetist, Certified Registered | 4881 Sugar Maple Dr, 88mdg/sgcj, Wright Patterson Afb, OH 45433 | 2020-06-12 |
| 1043834328 | William Woodfin Crosby | Nurse Practitioner | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-03 |
| 1629697750 | Firas Zako | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-09 |
| 1235768540 | Jacob David Harley | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-07 |
| 1326696527 | Rebecca Noel Seagraves | Pharmacist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-08-30 |
| 1154974095 | Lori Saturley | Dental Hygienist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-07-19 |
| 1902463987 | Stephen Seth Childers | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-05-24 |
| 1306409479 | Sean Roberts | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-04-15 |
| 1861954059 | Bryan Thomas Courtney | Military Health Care Provider | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734759 | Cincinnati Vamc | Clinic/Center | 4600 Smith Rd Ste A6, Norwood, OH 45212-2793 | 2019-01-22 |
| 1063800332 | Chillicothe Vamc | Clinic/Center | 17273 Sr 104, Chillicothe, OH 45601-9718 | 2015-01-08 |
| 1598153686 | Cleveland Vamc | Clinic/Center | 111 E Voris St, Akron, OH 44311-1513 | 2014-12-26 |
| 1508267394 | Cleveland Vamc | Clinic/Center | 8901 Superior Avenue, Cleveland, OH 44106-9998 | 2014-09-11 |
| 1407264666 | Carla Joa Raymo | Clinic/Center | 5609 Baldoyle Way, Canal Winchester, OH 43110-7946 | 2014-07-31 |
| 1861809824 | Chillicothe Vamc | Clinic/Center | 448 West Main Street, Wilmington, OH 45177-2121 | 2014-07-22 |
| 1952718900 | Huntington Vamc | Clinic/Center | 323a Upper River Road, Gallipolis, OH 45631-1840 | 2014-07-22 |
| 1215344270 | Cleveland Vamc | Clinic/Center | 54 South State Street, Suite 204, Painesville, OH 44077-3445 | 2014-07-22 |
| 1417200023 | Cincinnati Vamc | Clinic/Center | 474 Home Street, Georgetown, OH 45121-1459 | 2012-10-19 |
| 1487926853 | Cleveland Vamc | Clinic/Center | 8701 Brookpark Rd, Parma, OH 44129-6809 | 2012-02-01 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHT PATTERSON AFB |
| Zip Code | 45433 |
Please comment or provide details below to improve the information on DAYTON VAMC.
| 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.