ALLIANCE PHYSICIANS INC (NPI# 1568855104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568855104 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIANS INC |
| Other Organization Name | KETTERING HEALTH NETWORK GENETIC SERVICES |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
| Practice Telephone | 9373958646 |
| Practice Fax Number | 9375228100 |
| Mailing Telephone | 9377522305 |
| Mailing Fax Number | 9375227513 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | TIMOTHY Y KO (CFO) |
| Authorized Official Telephone | 9375583208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OH | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | OH | Allopathic & Osteopathic Physicians | |
| Y | 170300000X | Genetic Counselor, MS | OH | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Kettering Health Network Genetic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772887 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 7700 Washngton Vlg Dr, Suite 200, Centerville, OH 45459-4094 | 2014-09-08 |
| 1437125572 | Alliance Physicians Inc | Clinical Neuropsychologist | 10050 Innovation Dr, Suite 200, Miamisburg, OH 45342-4931 | 2006-02-28 |
| 1023409257 | Alliance Physicians Inc | Family Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2015-02-10 |
| 1922409622 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 7700 Washington Village Dr, Suite 200, Centerville, OH 45459-4094 | 2014-09-12 |
| 1952714420 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 50 N Progress Dr, Xenia, OH 45385-2666 | 2014-06-03 |
| 1639582182 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 3371 Kemp Rd, Beavercreek, OH 45431-2514 | 2014-06-03 |
| 1447673561 | Alliance Physicians Inc | Durable Medical Equipment & Medical Supplies | 5692 Far Hills Ave, Suite 1, Kettering, OH 45429-2239 | 2014-01-24 |
| 1457781221 | Alliance Physicians Inc | Surgery | 3737 Southern Blvd, Suite 2000, Kettering, OH 45429-1262 | 2013-11-15 |
| 1851728810 | Alliance Physicians Inc | Internal Medicine | 1010 Cereal Ave, Suite 100, Hamilton, OH 45013-2784 | 2013-10-04 |
| 1649510553 | Alliance Physicians Inc | Nurse Practitioner | 3535 Southern Blvd, 1 East, Kettering, OH 45429-1221 | 2013-03-01 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| Find all providers in the same location | ||||
| 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 | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427095934 | Julie Ann Edsall | Genetic Counselor, MS | 1269 Colfax Ave, Kettering, OH 45419-2103 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649247 | Kara Williams | Genetic Counselor, MS | 2012 Kenny Rd, Columbus, OH 43221-3502 | 2020-08-13 |
| 1831707967 | Sarah Mcgee | Genetic Counselor, MS | 9500 Euclid Ave R4, Cleveland, OH 44195 | 2020-07-15 |
| 1528680675 | Rachel Lily Rabenn | Genetic Counselor, MS | 11100 Euclid Ave # 1500, Cleveland, OH 44106-1716 | 2020-05-12 |
| 1851911960 | Jordan Elizabeth Brown | Genetic Counselor, MS | 2012 Kenny Rd Rm 250, Columbus, OH 43221-3502 | 2020-04-18 |
| 1710512686 | Rebecca Darrah | Genetic Counselor, MS | 11100 Euclid Ave Ste 1500, Cleveland, OH 44106-1716 | 2020-03-11 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1881228005 | Kristy Tran Nguyen | Genetic Counselor, MS | 5969 E Broad St Ste 102, Columbus, OH 43213-6526 | 2020-02-26 |
| 1346897261 | Mary-beth Roberts | Genetic Counselor, MS | Cleveland Clinic Children's Hospital 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-08-26 |
| 1720634835 | Kara Mia Vitalone | Genetic Counselor, MS | 215 W Bowery St Fl 5, Akron, OH 44308-1069 | 2019-08-14 |
| 1912568973 | Katherine Philo | Genetic Counselor, MS | 2010 E 90th St # R4020, Cleveland, OH 44106-2971 | 2019-06-21 |
| 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.