DR. TERREN BURGESS KOLES (NPI# 1699831693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699831693 |
| Entity Type | Individual |
| Full Name | DR. TERREN BURGESS KOLES |
| Credential | M.D. |
| Practice Address |
2912 Springboro Rd Suite Moraine OH 45439-1674 |
| Mailing Address |
2912 Springboro Rd Suite 201 Moraine OH 45439-1674 |
| Practice Telephone | 5136951468 |
| Practice Fax Number | 5136952941 |
| Mailing Telephone | 9378851927 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 35050061K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2933179 | 05 |
| Street Address |
2912 SPRINGBORO RD SUITE |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982702213 | Paula A Kimpton | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2006-09-20 |
| 1659726768 | Providence Medical Group, Inc. | Radiology | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2016-04-26 |
| 1811304595 | Providence Medical Group | Podiatrist | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2014-07-15 |
| 1285071399 | Corey A Davis | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2013-05-30 |
| 1689916744 | Tina M Garland | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2013-03-26 |
| 1912261744 | Providence Health Partners | Clinic/Center | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2012-06-26 |
| 1972886943 | Jacqueline June Davis | Nurse Practitioner | 2912 Springboro Rd, Moraine, OH 45439-1674 | 2011-09-26 |
| 1487956264 | Danielle Renee Little | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2010-11-29 |
| 1598092710 | Lisa A Rhodes | Nurse Practitioner | 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326334624 | South Community Primary Care Inc | General Practice | 3095 Kettering Blvd, Moraine, OH 45439 | 2011-06-24 |
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|---|---|---|---|---|
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| 1982237681 | Hydreight Usa LLC | General Practice | 16738 Pearl Rd, Strongsville, OH 44136-6049 | 2020-02-20 |
| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| 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.