JAMES PRUETER (NPI# 1649525684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649525684 |
| Entity Type | Individual |
| Full Name | JAMES PRUETER |
| Credential | DO |
| Practice Address |
1222 S Patterson Blvd Ste 400 Dayton OH 45402 |
| Mailing Address |
1222 S Patterson Blvd Ste 400 Dayton OH 45402-2642 |
| Practice Telephone | 9374962600 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 34.011112 | OH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | OP60735072 | WA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | NONE | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 W Grand Ave, Dayton, OH 454054720 | 9377233248 | |
| 550 17th Ave Ste 540, Seattle, WA 981224470 | 2063863880 |
| Street Address |
1222 S PATTERSON BLVD STE 400 |
| City | DAYTON |
| State | OH |
| Zip Code | 45402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603061 | Brianna Leigh Milke | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2020-06-12 |
| 1134788458 | Hannah Pearl Borton | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2019-06-10 |
| 1154989184 | Courtney Marie Ross | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2019-06-04 |
| 1609354984 | Elizabeth Ann Teets | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2018-07-30 |
| 1245720333 | Stephanie Gable | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2018-05-14 |
| 1770011199 | Meredith K Klingshirn | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2017-05-30 |
| 1831555374 | Elizabeth Campbell Brown | Speech-Language Pathologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2016-01-13 |
| 1790166130 | Eric L Bauer | Otolaryngology | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2015-06-11 |
| 1679980809 | Jennifer Ann Guntle | Audiologist | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2014-07-21 |
| 1811231103 | Chelsea Juliano Brannan | Audiologist-Hearing Aid Fitter | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2012-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505933 | John Darrell Balazs | Otolaryngology | 425 W Grand Avenue, Suite 2003, Dayton, OH 45405-4722 | 2006-09-06 |
| 1568424620 | Michael S. Panosian | Otolaryngology | 4100 W 3rd St # 112, Dayton, OH 45428-9000 | 2006-04-04 |
| 1972574267 | Walter Ned Maimon | Otolaryngology | 19 Briar Hill Rd, Dayton, OH 45419-3429 | 2006-01-27 |
| 1790166130 | Eric L Bauer | Otolaryngology | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2015-06-11 |
| 1114105129 | Ankur M Patel | Otolaryngology | 1 Childrens Plz, Advanced Pediatric Ent, Dayton, OH 45404-1873 | 2008-02-01 |
| 1710170261 | Matthew Garrett | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2007-08-18 |
| 1568683399 | Stefanie K Horne | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2007-05-01 |
| 1700954526 | John Allan Balazs | Otolaryngology | 425 W Grand Avenue, Suite 2003, Dayton, OH 45405-4722 | 2006-12-01 |
| 1477573327 | Adan A Fuentes | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2006-07-20 |
| 1538131503 | Wolfgang F Dietz | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2006-02-03 |
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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.