DR. ERICA FAYE SUPRENANT (NPI# 1649699158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649699158 |
| Entity Type | Individual |
| Full Name | DR. ERICA FAYE SUPRENANT |
| Credential | DPM |
| Practice Address |
8721 N Main St Dayton OH 45415-1331 |
| Mailing Address |
6200 Pleasant Ave Ste 3 Fairfield OH 45014-4671 |
| Practice Telephone | 9372643150 |
| Mailing Telephone | 5138299333 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36003787 | OH | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Street Address |
8721 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336248335 | John Regis Stevenson | Podiatrist | 8721 N Main St, Dayton, OH 45415-1331 | 2006-09-22 |
| 1962847590 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 8721 N Main St, Dayton, OH 45415-1331 | 2013-05-09 |
| 1336318856 | John Stevenson Inc | Podiatrist | 8721 N Main St, Dayton, OH 45415-1331 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295390268 | Greenberg Foot and Ankle | Podiatrist | 1989 Miamisburg Centerville Rd Ste 200, Dayton, OH 45459-3858 | 2019-05-06 |
| 1568997799 | Sharon Kathleen Jay | Podiatrist | 6601 Centerville Business Pkwy Ste 117, Dayton, OH 45459-2690 | 2017-04-25 |
| 1215249529 | Michael Brondon | Podiatrist | 77 W Elmwood Dr Ste 311, Dayton, OH 45459-4278 | 2010-07-02 |
| 1861524845 | Alan R Cooper | Podiatrist | 4569a Lansmore Dr, Dayton, OH 45415-3352 | 2007-03-12 |
| 1366527384 | Julia Ruffin | Podiatrist | 169 Alden St, Dayton, OH 45405-4602 | 2006-10-26 |
| 1336248335 | John Regis Stevenson | Podiatrist | 8721 N Main St, Dayton, OH 45415-1331 | 2006-09-22 |
| 1356308761 | Premier Integrated Medical Assoc. Ltd. | Podiatrist | 7271 N Main St, Suite 2, Dayton, OH 45415-2567 | 2006-04-28 |
| 1235138496 | Elizabeth G Sybrandy-nicely | Podiatrist | 1001 Shroyer Rd, Dayton, OH 45419-3635 | 2005-07-20 |
| 1962407908 | Brian Alex Kuvshinikov | Podiatrist | 15 Southmoor Cir Ne, Dayton, OH 45429-2451 | 2005-06-16 |
| 1932102811 | Joanne Duckro | Podiatrist | 479 E Rahn Rd, Dayton, OH 45429-5948 | 2005-05-24 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DR. ERICA FAYE SUPRENANT.
| 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.