DR. RYAN GARNER MIHATA (NPI# 1760466726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760466726 |
| Entity Type | Individual |
| Full Name | DR. RYAN GARNER MIHATA |
| Credential | MD |
| Practice Address |
3525 Southern Blvd Wsu Em - Cox Building Kettering OH 45429-1221 |
| Practice Telephone | 9373958839 |
| Mailing Telephone | 9373958839 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01066636A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35.120207 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000625951 | 01 |
| IN | 200964680 | 05 | |
| OH | OH MEDICAL LIC | 35.120207 | 01 |
| Street Address |
3525 SOUTHERN BLVD WSU EM - COX BUILDING |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558990895 | Paxton James Prather | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-04-08 |
| 1801425889 | Jacob John Patz | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-04-02 |
| 1487282778 | Jonathan Shecter | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-31 |
| 1871121574 | Chikaodinaka Ihejiene | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-29 |
| 1396373296 | Tyler Hunt | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-28 |
| 1780212514 | Benjamin David Boodt | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-28 |
| 1073141024 | Ross Warren Kynast | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-27 |
| 1578190740 | Kyle E Bobay | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-26 |
| 1891322376 | Michael Frein | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-25 |
| 1891322285 | Matthew Oram | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929320 | Robert L Barker | Internal Medicine | 33 W Rahn Rd, Kettering, OH 45429-2219 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891236733 | Jing Gennie Wang | Internal Medicine | 473 W 12th Ave Ste 201, Columbus, OH 43210-1252 | 2017-03-11 |
| 1083093546 | Waleed F Nemer Md Inc | Internal Medicine | 908 E Waterloo Rd Ste 1a, Akron, OH 44306-3928 | 2015-05-29 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| 1083059182 | Matthew Thomas Siuba | Internal Medicine | 9500 Euclid Ave # L2-300, Cleveland, OH 44195-0001 | 2013-05-02 |
| 1831431162 | David Healy Do Pulmonary Medicine LLC | Internal Medicine | 3693 Darby Knolls Blvd, Hilliard, OH 43026-7293 | 2013-03-25 |
| 1417207010 | Jeffrey David Parker | Internal Medicine | 2121 Herrick Ave., Cincinnati, OH 45208-3214 | 2012-09-12 |
| 1780947077 | Ayman O Alsharbini | Internal Medicine | 425 West 5th St, East Liverpool, OH 43920 | 2012-06-21 |
| 1386942910 | Pulmonary Associates LLC | Internal Medicine | 3006 N. Dixie Hwy., Suite 102, Troy, OH 45373 | 2011-03-07 |
| 1144523630 | Jordan Atanasov Kazakov | Internal Medicine | 11100 Euclid Ave # Bolwell 6, Cleveland, OH 44106-1716 | 2010-12-06 |
| 1649402751 | Anthony Michael Boulos | Internal Medicine | 960 Windham Ct Ste 1, Youngstown, OH 44512-5087 | 2009-08-24 |
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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.