PRIME FAMILY HEALTH CENTER OF DAYTON LLC (NPI# 1801188842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801188842 |
| Entity Type | Organization |
| Organization Name | PRIME FAMILY HEALTH CENTER OF DAYTON LLC |
| Practice Address |
8120 Garnet Dr Dayton OH 45458-2141 |
| Practice Telephone | 9372912511 |
| Practice Fax Number | 9372912523 |
| Mailing Telephone | 9372912511 |
| Mailing Fax Number | 9372912523 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |
| Authorized Official Name | DR. ROBERT GRANT GOODWIN (OWNER) |
| Authorized Official Telephone | 9372912511 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1982 | OH | Chiropractic Providers |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
8120 GARNET DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45458-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341911 | Laila Ibrahim Gomaa | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2005-07-26 |
| 1023643392 | Luis James Villagrana | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2020-03-07 |
| 1467084707 | Scott Stebbins | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2020-02-05 |
| 1639709512 | Nicole Marie Buhrman | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2020-01-20 |
| 1205484953 | Katherine Wolfe | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-08-27 |
| 1295380053 | Ashley Tanner | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-08-07 |
| 1821641085 | Jacqueline Milling | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-07-17 |
| 1356901342 | Andrew Baney | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-06-20 |
| 1851951149 | Nichole Danielle Cordell | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-06-18 |
| 1962965400 | Simbe S. Wilson | Case Manager/Care Coordinator | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on PRIME FAMILY HEALTH CENTER OF DAYTON LLC.
| 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.