ALLIANCE PHYSICIAN INC (NPI# 1568744969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568744969 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIAN INC |
| Other Organization Name | SOUTHMOOR MEDICAL ASSOCIATE |
| Practice Address |
38 Southmoor Cir Ne Suite B Kettering OH 45429-2443 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9372944487 |
| Practice Fax Number | 9372942255 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 9375583222 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE PHYSICIAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712872 | 05 |
| Other Name | Type Code |
|---|---|
| Southmoor Medical Associate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821160243 | Alliance Physician Inc | Family Medicine | 4403 Far Hills Ave, Kettering, OH 45429-2405 | 2006-11-14 |
| 1891077194 | Alliance Physician Inc | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 | 2011-09-13 |
| 1285916585 | Alliance Physician Inc | Psychiatry & Neurology | 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 | 2011-09-13 |
| 1598047813 | Alliance Physician Inc | Orthopaedic Surgery | 2350 Miami Valley Dr, Suite 320, Centerville, OH 45459-4000 | 2011-09-13 |
| 1275815672 | Alliance Physician Inc | Internal Medicine | 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 | 2011-09-13 |
| 1710269113 | Alliance Physician Inc | Obstetrics & Gynecology | 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 | 2011-09-13 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679855985 | Alliance Physician Inc | Urology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3953 | 2011-09-13 |
| Street Address |
38 SOUTHMOOR CIR NE SUITE B |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008531 | John Jerome Hochwalt | Family Medicine | 38 Southmoor Cir Ne, Kettering, OH 45429-2443 | 2005-07-26 |
| 1336264209 | Southmoor Medical Associates | Family Medicine | 38 Southmoor Cir Ne, Kettering, OH 45429-2443 | 2007-03-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1821361510 | William A Erwin | Family Medicine | 4717 Elzo Ln, Kettering, OH 45440-2026 | 2012-02-12 |
| 1376764944 | Letitia Canice Thompson-hargrave | Family Medicine | 513 E Stroop Rd, Kettering, OH 45429-3224 | 2007-05-01 |
| 1023102084 | Christian E. Koch | Family Medicine | 3080 Ackerman Blvd Ste 110, Kettering, OH 45429-3559 | 2006-10-03 |
| 1437256187 | Joseph Gregory Dudash | Family Medicine | 500 Lincoln Park Blvd Ste 220, Kettering, OH 45429-6404 | 2006-09-17 |
| 1134131519 | Carol Gaut Ryan | Family Medicine | 1360 E Stroop Rd, Kettering, OH 45429-4926 | 2006-08-13 |
| 1922051994 | Mvhe Inc | Family Medicine | 1525 E Stroop Rd, Suite 200, Kettering, OH 45429-5065 | 2006-05-18 |
| 1932163409 | James A. Derksen | Family Medicine | 1900 Composite Drive, Kettering, OH 45420-1475 | 2006-04-13 |
| 1366429342 | Carillon Family Practice Ltd | Family Medicine | 2501 S Dixie Dr, Kettering, OH 45409-1523 | 2005-12-29 |
| 1053307447 | Bradford J Murphy | Family Medicine | 3716 Wilmington Pike, Kettering, OH 45429-4845 | 2005-09-21 |
| 1184624413 | Arvin K Nanda | Family Medicine | 4441 Far Hills Ave, Kettering, OH 45429 | 2005-07-28 |
| Find all providers in KETTERING | ||||
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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.