UPPER VALLEY PROFESSIONAL CORPORATION (NPI# 1811089121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811089121 |
| Entity Type | Organization |
| Organization Name | UPPER VALLEY PROFESSIONAL CORPORATION |
| Other Organization Name | PEDIATRIC GROUP |
| Practice Address |
3130 N County Road 25a Suite 103 Troy OH 45373-1337 |
| 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 | 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 |
| 1720170038 | Upper Valley Professional Corporation | Pediatrics | 450 N Hyatt St, Suite 306, Tipp City, OH 45371-1433 | 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 |
3130 N COUNTY ROAD 25A SUITE 103 |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956772 | Michael Todd Boggs | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2005-07-19 |
| 1417504630 | Kerri Marie Starkey | Massage Therapist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-08-22 |
| 1033762562 | Kara Sue Bruskotter | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-07-23 |
| 1003477506 | Christine L Asher | Registered Nurse | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-25 |
| 1386203966 | Danielle Morgan Wheeler | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-07 |
| 1881173607 | Alaine C. Kirby | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-08-13 |
| 1750871075 | Sarah Flora | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-11 |
| 1083103667 | Brian Allen Haynes | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-09 |
| 1790292191 | Michael E. Barhorst | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-01-08 |
| 1386156115 | Seth Gullett | Nurse Anesthetist, Certified Registered | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| 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 |
|---|---|---|---|---|
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1982854840 | Sachin K Shah | Pediatrics | 1007 Alameda Blvd, Troy, MI 48085-6736 | 2008-09-26 |
| 1962665869 | Jonathan Lauter | Pediatrics | 1800 W Big Beaver Rd Ste 200, Troy, MI 48084-3545 | 2008-07-10 |
| 1104086461 | Elizabeth N Dawson | Pediatrics | 1300 United States Highway 231 South, Troy, AL 36081 | 2008-06-11 |
| 1902087380 | Christina Zanakis-tempelis | Pediatrics | 111 Scouting Circle, Troy, AL 36081 | 2007-11-14 |
| 1932288552 | Annamalai Muthiah | Pediatrics | 195 5th Avenue, Troy, NY 12180 | 2006-11-03 |
| 1356440572 | Center for Pediatric & Adolescent Medicine | Pediatrics | 2100 W Big Beaver, Ste 110, Troy, MI 48084 | 2006-09-22 |
| 1194824805 | Norma Iringan Pattugalan | Pediatrics | 1405 Stonycreek Rd, Troy, OH 45373 | 2006-09-21 |
| 1174591549 | Majda A Hannish | Pediatrics | 2100 W Big Beaver Rd, Ste 110, Troy, MI 48084 | 2006-03-10 |
| 1316922271 | Mary D Oshea | Pediatrics | 3270 W Big Beaver Rd, Suite 400, Troy, MI 48084-2901 | 2005-12-13 |
| Find all providers in TROY | ||||
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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.