MS. JONISTA M. PEEBLES (NPI# 1558646760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558646760 |
| Entity Type | Individual |
| Full Name | MS. JONISTA M. PEEBLES |
| Practice Address |
4898 Livingstone Ave Trotwood OH 45426-1490 |
| Mailing Address |
4898 Linvingstone Ave Dayton OH 45426-0026 |
| Practice Telephone | 9374697520 |
| Mailing Telephone | 9374697520 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 23550895 | OH | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 23550895 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 23550895 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 23550895 | OH | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 23550895 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4898 LIVINGSTONE AVE |
| City | TROTWOOD |
| State | OH |
| Zip Code | 45426-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841842515 | Gwenivere S Brown | Social Worker | 2580 Shiloh Springs Rd #b, Trotwood, OH 45426 | 2019-07-12 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1417336587 | Sisterhomehealthcareprovider | Home Health | 5119 Kingsford Av., Dayton, OH 45426 | 2015-05-22 |
| 1164851846 | Ronica Diene | Licensed Practical Nurse | 5324 Greencroft Dr, Dayton, OH 45426 | 2013-11-04 |
| 1568897783 | Shatonne Dianne Jackson | Nursing Facility/Intermediate Care Facility | 616 Ellsworth Dr, Dayton, OH 45426 | 2013-09-06 |
| 1144570318 | Ja'net D Hines | Licensed Practical Nurse | 12 Greacian Ave, Dayton, OH 45426 | 2012-09-14 |
| 1306106422 | Njek Akieh Achu | Home Health | 5909 Macduff Dr Apt 1716, Trotwood, OH 45426 | 2012-05-22 |
| 1518224963 | Edward Harris | Home Health Aide | 4921 Bloomfield Dr, Apt L, Trotwood, OH 45426 | 2012-04-23 |
| 1508134677 | Cedrick D Parks | Pharmacist | 5371 Salem Ave, Trotwood, OH 45426 | 2011-12-05 |
| 1336476308 | Ziks Family Pharmacy Inc 102 | Pharmacy | 4140 Salem Avenue, Dayton, OH 45426 | 2009-11-11 |
| Find all providers in zip 45426 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568401685 | Duane Dickens | Family Medicine | 3038 Olive Rd, Trotwood, OH 45426-2640 | 2006-06-05 |
| 1710932900 | Isaac Corney | Family Medicine | 3038 Olive Rd, Trotwood, OH 45426-2640 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.