JCC, LLC (NPI# 1821338336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821338336 |
| Entity Type | Organization |
| Organization Name | JCC, LLC |
| Other Organization Name | PDI NORTH DAYTON |
| Practice Address |
4160 Little York Rd Suite 10 Dayton OH 45414-5800 |
| Practice Telephone | 2163423064 |
| Practice Fax Number | 2163424295 |
| Mailing Telephone | 2163423064 |
| Mailing Fax Number | 2163424295 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | JACK CHAMPNEY CORNELL (CEO) |
| Authorized Official Telephone | 2167658390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PDI NORTH DAYTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1144466293 | Jcc, LLC | Clinic/Center | 2591 Miamisburg Centerville Rd Ste 102, Centerville, OH 45459-3706 | 2008-12-19 |
| 1144704891 | Jcc, LLC | Clinic/Center | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JCC, LLC | 201 14th Street, Suite 200, Glenwood Springs, CO 81601 |
| Street Address |
4160 LITTLE YORK RD SUITE 10 |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764391 | Cardiology Specialists of Dayton Inc. | Internal Medicine | 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 | 2005-07-14 |
| 1538532825 | Amy Birkemeier | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-11-09 |
| 1154701837 | Zachary Baum | Registered Nurse | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-06-08 |
| 1578942728 | Rachel Lloyd | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-05-20 |
| 1508267279 | Lauren Rode | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2014-09-11 |
| 1194149955 | Kathleen Walker | Occupational Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2014-02-13 |
| 1053661926 | Stephanie Jae Buehler | Occupational Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2012-09-18 |
| 1104197318 | Holly Ann Wolters | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2012-01-19 |
| 1598047664 | Brigitte Nicole Eric | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2011-09-15 |
| 1255613568 | Alliance Physician Inc | Internal Medicine | 4160 Little York Rd, Suite 20, Dayton, OH 45414-5803 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704891 | Jcc, LLC | Clinic/Center | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-09-19 |
| 1770742728 | Vanguard Imaging Partners LLC | Clinic/Center | 1525 E Stroop Rd, Dayton, OH 45429-5065 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982107975 | Van Wert Medical Services, Ltd. | Clinic/Center | 214 Towne Center Blvd, Van Wert, OH 45891 | 2018-03-15 |
| 1770099798 | Mri Solutions | Clinic/Center | 4424 Aicholtz Rd Ste D, Cincinnati, OH 45245-1530 | 2017-12-28 |
| 1144466293 | Jcc, LLC | Clinic/Center | 2591 Miamisburg Centerville Rd Ste 102, Centerville, OH 45459-3706 | 2008-12-19 |
| 1578697181 | Med Tel International Corporation | Clinic/Center | 250 Executive Dr, #c, Marion, OH 43302-6284 | 2007-03-15 |
| 1548352818 | Radiology Specialists Ltd. LLC | Clinic/Center | 4161 Bridgewater Parkway, Stow, OH 44224 | 2006-09-28 |
| 1194733246 | Woodland Diagnostic Imaging LLC | Clinic/Center | 5005 Whipple Ave Nw, Canton, OH 44718 | 2006-08-04 |
| 1922022698 | Open Access Mri, LLC | Clinic/Center | 109 S Fayette St, Fayette, OH 43521-9411 | 2006-07-27 |
| 1225061526 | Vanguard Imaging Partners, LLC | Clinic/Center | 2619 Commons Blvd, Beavercreek, OH 45431-3817 | 2006-07-09 |
| 1194753640 | World Class Medical Imaging | Clinic/Center | 1735 West Main Street, Troy, OH 45373-2301 | 2006-06-30 |
| 1063468460 | North Coast Imaging, LLC | Clinic/Center | 1303 W State St, Fremont, OH 43420-2016 | 2006-05-26 |
| 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.