PRADIP M MEHTA (NPI# 1639151079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639151079 |
| Entity Type | Individual |
| Full Name | PRADIP M MEHTA |
| Credential | MD |
| Practice Address |
100 Elmwood Park Dr Dayton OH 45449-5402 |
| Practice Telephone | 9373840580 |
| Mailing Telephone | 9373840580 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 35.123682 | OH | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35.123682 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35.123682 | OH | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
35.123682 | OH | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
35.123682 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2840804 | 05 |
| Street Address |
100 ELMWOOD PARK DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45449-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346375 | Susan Melissa Fox | Registered Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2020-11-05 |
| 1023671963 | Nichole Lynn Moore | Licensed Practical Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2019-04-16 |
| 1497217707 | Charleen Adams | Licensed Practical Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2019-04-04 |
| 1023508983 | Rachel Eberly | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2018-05-16 |
| 1902395916 | Brittany Renee Hurt | Registered Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2018-05-04 |
| 1265921530 | Sarah Selogic | Social Worker | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2018-05-02 |
| 1942717970 | Richard C Confer | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2017-12-29 |
| 1932634235 | Carree Chapman | Registered Nurse | 100 Elmwood Park Dr, Ste 200, Dayton, OH 45449-5402 | 2017-04-24 |
| 1689114647 | Kelly Delgado | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2017-02-24 |
| 1992115745 | Ciara Bobbitt | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559697 | Charles D'imperio | Pharmacist | 2921 W Alexbell Rd, Moraine, OH 45449 | 2020-02-12 |
| 1588166037 | Jennifer Bennett | Counselor | 100 Elmwood Park Dr. Suite 201, Dayton, OH 45449 | 2018-03-01 |
| 1992978597 | Joni Diane Draut | Registered Nurse | 2619 Marigold Dr., Dayton, OH 45449 | 2008-04-04 |
| 1558582205 | Barbara E. Shanahan | Contractor | 510 Richie Drive, West Carrollton, OH 45449 | 2007-05-01 |
| 1124166475 | Nadine K Hubley | Chiropractor | 1615 S Alex Rd, Dayton, OH 45449 | 2007-02-01 |
| 1720171481 | Pharmacy Operations, Inc. | Pharmacy | 1919 S Alex Rd, W Carrollton, OH 45449 | 2006-10-02 |
| 1326039736 | Summit Ohio Leasing Co., LLC | Skilled Nursing Facility | 3800 Summit Glen Drive, Dayton, OH 45449 | 2005-11-03 |
| 1649881731 | Lindsey Catherine Tremblay | Pharmacist | 5901 Springboro Pike, Dayton, OH 45449 | 2020-08-12 |
| 1841615598 | Rosalyn Suprenant | Registered Nurse | 430 E Pease Ave, West Carrollton School District, West Carrollton, OH 45449 | 2014-03-04 |
| 1285928408 | Amanda J Robinett | Registered Nurse | 5932 Springboro Pike, Dayton, OH 45449 | 2011-06-06 |
| Find all providers in zip 45449 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682455 | Gk Medical Consulting LLC | Internal Medicine | 1010 Woodman Dr, Suite 220, Dayton, OH 45432-1400 | 2015-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916330 | First Horizon Solutions, LLC | Internal Medicine | 3730 Tabs Dr Ste 102, Uniontown, OH 44685-9562 | 2017-07-27 |
| 1558800193 | Cleanslate Medical Group of Ohio LLC | Internal Medicine | 4488 W Broad St Ste 3, Columbus, OH 43228-5610 | 2017-02-15 |
| 1841238094 | Christopher T. Meyer | Internal Medicine | 75 Hospital Dr Ste 350, Athens, OH 45701-2867 | 2006-06-02 |
| 1417933490 | James Frederick Guenther | Internal Medicine | 1319 E Main St, Lancaster, OH 43130-4005 | 2005-12-21 |
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1639170509 | Patrick Bruno | Internal Medicine | 3535 Lee Rd, Shaker Heights, OH 44120-5122 | 2005-08-02 |
| 1649279373 | Anthony Dean Agra | Internal Medicine | 547 E 11th Ave, Columbus, OH 43211-2603 | 2005-07-15 |
| 1245233345 | Parag J Patel | Internal Medicine | 446 Morgan St, Cincinnati, OH 45206-2348 | 2005-05-23 |
| 1790382752 | Keyona Shine | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-10-02 |
| 1902413677 | Stacey Whitesel | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-09-28 |
| 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.