UPPER VALLEY PROFESSIONAL CORPORATION (NPI# 1720170038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720170038 |
| Entity Type | Organization |
| Organization Name | UPPER VALLEY PROFESSIONAL CORPORATION |
| Other Organization Name | PEDIATRIC GROUP |
| Practice Address |
450 N Hyatt St Suite 306 Tipp City OH 45371-1433 |
| Mailing Address |
Po Box 479 Troy OH 45373-0479 |
| Practice Telephone | 9374408687 |
| Practice Fax Number | 9377738058 |
| Mailing Telephone | 9374408687 |
| Mailing Fax Number | 9377738058 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | PAMELA RADER (ADMINISTRATOR) |
| Authorized Official Telephone | 9374407454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2616404 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639431513 | Upper Valley Professional Corporation | Hospitalist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2012-06-15 |
| 1982819744 | Upper Valley Professional Corporation | Family Medicine | 31 S Stanfield Rd, Suite 304, Troy, OH 45373-2374 | 2007-05-14 |
| 1811089121 | Upper Valley Professional Corporation | Pediatrics | 3130 N County Road 25a, Suite 103, Troy, OH 45373-1337 | 2006-09-28 |
| 1801995915 | Upper Valley Professional Corporation | Family Medicine | 998 S Dorset Rd, Suite 301, Troy, OH 45373-4753 | 2006-09-22 |
| 1811096951 | Upper Valley Professional Corporation | Internal Medicine | 31 S Stanfield Rd, Suite 301, Troy, OH 45373-2374 | 2006-09-22 |
| 1740389766 | Upper Valley Professional Corporation | Pediatrics | 280 Looney Rd, Suite 101, Piqua, OH 45356-4199 | 2006-09-22 |
| 1437259470 | Upper Valley Professional Corporation | Family Medicine | 471 Marker Rd, Versailles, OH 45380-9324 | 2006-09-22 |
| 1851490973 | Upper Valley Professional Corporation | Family Medicine | 450 N Hyatt St, Suite 202, Tipp City, OH 45371-1433 | 2006-09-22 |
| 1407872518 | Upper Valley Professional Corporation | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-07-14 |
| Street Address |
450 N HYATT ST SUITE 306 |
| City | TIPP CITY |
| State | OH |
| Zip Code | 45371-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559449 | Aaron Christopher Harju | Family Medicine | 450 N Hyatt St, 202, Tipp City, OH 45371-1433 | 2005-09-26 |
| 1912362153 | Kayleigh Hitchcock | Specialist/Technologist | 450 N Hyatt St, Tipp City, OH 45371-1433 | 2015-12-15 |
| 1639544836 | Justin Perkins | Specialist/Technologist | 450 N Hyatt St, Tipp City, OH 45371-1433 | 2015-12-14 |
| 1447625272 | Zachariah Rahe | Specialist/Technologist | 450 N Hyatt St, Tipp City, OH 45371-1433 | 2015-12-04 |
| 1043699143 | Brian Downs | Specialist/Technologist | 450 N Hyatt St, Suite 102, Tipp City, OH 45371-1433 | 2015-05-21 |
| 1982000899 | Tiffany Rhoades | Specialist/Technologist | 450 N Hyatt St, Tipp City, OH 45371-1433 | 2014-11-05 |
| 1720277486 | Jon Berkeley Silk Jr. | Family Medicine | 450 N Hyatt St, Ste 202, Tipp City, OH 45371-1433 | 2007-10-18 |
| 1770798340 | Kathryn E Lorenz | Family Medicine | 450 N Hyatt St, Suite 202, Tipp City, OH 45371-1433 | 2007-05-14 |
| 1497971964 | Brian Edward Jans | Physical Therapist | 450 N Hyatt St, Suite 102, Tipp City, OH 45371-1433 | 2007-04-17 |
| 1386763738 | Digestive Specialty Care Inc | Internal Medicine | 450 N Hyatt St, Suite 302, Tipp City, OH 45371-1433 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245619857 | April Taylor | Registered Nurse | 555 North Hyatt St, Tipp City, OH 45371 | 2015-05-28 |
| 1861886285 | Victoria Lyn Kaesler | Social Worker | 90 South Tippecanoe Drive, Tipp City, OH 45371 | 2015-03-24 |
| 1205252921 | Kathleen Phillips | Massage Therapist | 5850 County Rd., Tipp City, OH 45371 | 2014-03-06 |
| 1386088003 | Hocks Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5175 S County Road 25a, Tipp City, OH 45371 | 2013-04-24 |
| 1073897245 | Richard Tebbe | Licensed Practical Nurse | 7600 South Newbury Rd., Tipp City, OH 45371 | 2011-10-05 |
| 1740507888 | Jessica A Rizzotte | Nurse Practitioner | 1483 W. Main St, Tipp City, OH 45371 | 2010-04-29 |
| 1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
| 1962519561 | Far Oaks Orthopedists | Orthopaedic Surgery | 450 North Hyatt, Suite 306, Tipp City, OH 45371 | 2006-08-23 |
| 1205844263 | Frederick Mark Sacks | Psychologist | 1485 Commerce Park Drive, Tipp City, OH 45371 | 2006-08-04 |
| 1891847323 | Nancy C Carner | Social Worker | 1440 W Main St, Tipp City, OH 45371 | 2007-01-17 |
| Find all providers in zip 45371 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255643110 | Nicole N Cruz | Pediatrics | 2637 Sunset Maple Dr, Tipp City, OH 45371-8157 | 2010-07-08 |
| 1649365032 | Kathryn Lorraine Dearing | Pediatrics | 1483 W Main St, Tipp City, OH 45371-2803 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477022606 | Anthony George Pucell | Pediatrics | 1120 Gordon Rd, Lyndhurst, OH 44124-1335 | 2018-11-16 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
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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.