MELANIE C RAFFOUL (NPI# 1639465586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639465586 |
| Entity Type | Individual |
| Full Name | MELANIE C RAFFOUL |
| Credential | MD |
| Practice Address |
1911 Old Fairfield Rd Ste 110a Beavercreek OH 45432-2754 |
| Practice Telephone | 9374294826 |
| Practice Fax Number | 9374294575 |
| Mailing Telephone | 9374294826 |
| Mailing Fax Number | 9374294575 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2016-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.121937 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TEMPORARY | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0100387 | 05 |
| Street Address |
1911 OLD FAIRFIELD RD STE 110A |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| 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 |
|---|---|---|---|---|
| 1760019475 | Carehere LLC | Family Medicine | 3040 Kemp Rd Ste 100, Beavercreek, OH 45431-2644 | 2020-03-24 |
| 1740713254 | Kelsey Mayrand | Family Medicine | 1244 Meadow Bridge Dr Ste 100, Beavercreek, OH 45434-6388 | 2017-04-11 |
| 1760895940 | Jonathan A Clifford | Family Medicine | 2510 Commons Blvd Ste 110, Beavercreek, OH 45431-3821 | 2014-06-05 |
| 1881977171 | Alim Vivanco | Family Medicine | 2641 Hibiscus Way, Apt 312, Beavercreek, OH 45431-2393 | 2011-09-22 |
| 1528221157 | Green and Guirnalda Family Health Center | Family Medicine | 3359 Kemp Rd Ste 100, Beavercreek, OH 45431-2565 | 2008-07-03 |
| 1760661367 | Matthew D Moore LLC | Family Medicine | 2141 North Fairfield Road, Suite C, Beavercreek, OH 45431-2579 | 2007-10-31 |
| 1710066030 | Jane Diane Morford | Family Medicine | 1896 Shady Ln, Beavercreek, OH 45432-2063 | 2006-11-06 |
| 1316058894 | Joseph Scott Leithold | Family Medicine | 4235 Indian Ripple Road, Ste 210, Beavercreek, OH 45440 | 2006-08-31 |
| 1437198066 | Lisa Renee Vantrease | Family Medicine | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 | 2006-06-06 |
| 1891740874 | Internal Medicine Associates, Inc. | Family Medicine | 4428 Indian Ripple Rd, Beavercreek, OH 45440-3264 | 2006-05-24 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
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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.