PEDIATRIC ASSOCIATES OF DAYTON, INC. (NPI# 1609045012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609045012 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF DAYTON, INC. |
| Practice Address |
5450 Far Hills Ave Suite 110 Kettering OH 45429-2386 |
| Mailing Address |
9000 N Main St Suite 110 Dayton OH 45415-1180 |
| Practice Telephone | 9374362866 |
| Practice Fax Number | 9374361468 |
| Mailing Telephone | 9378327337 |
| Mailing Fax Number | 9378324817 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | DR. GARY YOURA (PHYSICIAN) |
| Authorized Official Telephone | 9378327337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2637543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174792584 | Pediatric Associates of Dayton, Inc. | Pediatrics | 3140 Dayton Xenia Rd, Suite C, Beavercreek, OH 45434-6395 | 2008-02-29 |
| Street Address |
5450 FAR HILLS AVE SUITE 110 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306886692 | Thomas Packard | Psychologist | 5450 Far Hills Ave, Suite 110, Kettering, OH 45429-2386 | 2006-06-07 |
| 1932474632 | Deborah Miller | Spec/Tech, Cardiovascular | 5450 Far Hills Ave, Suite 124, Kettering, OH 45429-2386 | 2012-03-13 |
| 1881976496 | Joshua M Thompson | Counselor | 5450 Far Hills Ave, Suite 222, Kettering, OH 45429-2386 | 2011-09-09 |
| 1184905010 | Meredith Leigh Threatt | Counselor | 5450 Far Hills Ave, Suite 222, Kettering, OH 45429-2386 | 2011-09-06 |
| 1417190927 | Teresa R. Kramer | Spec/Tech, Cardiovascular | 5450 Far Hills Ave, Kettering, OH 45429-2386 | 2009-04-14 |
| 1326281205 | Amy S. Hess | Spec/Tech, Cardiovascular | 5450 Far Hills Ave, Suite 124, Kettering, OH 45429-2386 | 2009-04-08 |
| 1891932604 | Premier Health Specialists Inc | Pediatrics | 5450 Far Hills Ave, Suite 124, Kettering, OH 45429-2386 | 2009-01-15 |
| 1518172550 | Scott Evan Hall | Counselor | 5450 Far Hills Ave, Suite 222, Kettering, OH 45429-2386 | 2007-05-12 |
| 1427160027 | Michele Marie Crist | Psychologist | 5450 Far Hills Ave, Kettering, OH 45429-2386 | 2006-08-31 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203542 | Phyllis R Elinson | Pediatrics | 1775 Delco Park Drive, Kettering, OH 45420 | 2006-10-02 |
| 1285690339 | Premier Integrated Medical Assoc Ltd | Pediatrics | 1900 Composite Dr, Kettering, OH 45420-1475 | 2006-04-25 |
| 1023598414 | Caroline Dora Block-wilkins | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2018-08-15 |
| 1528328713 | Stephanie Kay Powers | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2012-05-21 |
| 1013235597 | Loren Ann Nallu | Pediatrics | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2010-05-10 |
| 1912148826 | Kristen Marie Schneider | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2009-03-23 |
| 1639340136 | Adrienne W Lee | Pediatrics | 1074 Patterson Rd, Kettering, OH 45420-1522 | 2008-03-12 |
| 1619090750 | Ohio Pediatrics, Inc. | Pediatrics | 1775 Delco Park Drive, Kettering, OH 45420-1398 | 2007-04-06 |
| 1326127358 | Nazneen M Quadri | Pediatrics | 5692 Far Hills Ave, Suite 3, Kettering, OH 45429-2239 | 2006-11-02 |
| 1609962166 | Mary C Pipik | Pediatrics | 1775 Delco Park Drive, Kettering, OH 45420 | 2006-10-04 |
| 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.