DAYTON NEUROLOGIC ASSOCIATES LLC (NPI# 1861966434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861966434 |
| Entity Type | Organization |
| Organization Name | DAYTON NEUROLOGIC ASSOCIATES LLC |
| Practice Address |
8805 N Main St Dayton OH 45415-1333 |
| Mailing Address |
77 W Elmwood Dr Ste 211 Dayton OH 45459-4263 |
| Practice Telephone | 9377973137 |
| Practice Fax Number | 9379720445 |
| Mailing Telephone | 9372035866 |
| Mailing Fax Number | 9374022342 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | MICHAEL P VERDON (PRESIDENT) |
| Authorized Official Telephone | 8144405953 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0331658 | 05 | |
| OH | MEDICARE DME PTAN | 7755330001 | 01 |
| OH | RRMEDICARE PTAN | DZ0946 | 01 |
| OH | MEDICARE PTAN | H698970 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2510 Commons Blvd Ste 200, Beavercreek, OH 454313820 | 9377973137 | 9379720445 |
| 2587 Commons Blvd Ste 110, Beavercreek, OH 454313841 | 9377973137 | 9379720445 |
| Street Address |
8805 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427276948 | Michael Peter Verdon | Neurological Surgery | 8805 N Main St, Dayton, OH 45415-1333 | 2007-04-22 |
| 1215455423 | Lyndsey Sue Filbrun | Physician Assistant | 8805 N Main St, Dayton, OH 45415-1333 | 2017-09-07 |
| 1659810943 | Accelerated Rehabilitation Centers Ltd | Occupational Therapist | 8805 N Main St, Ste 110, Dayton, OH 45415-1333 | 2017-02-20 |
| 1922311851 | Justin Robert Lodge | Physical Therapist | 8805 N Main St, Ste 110, Dayton, OH 45415-1333 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467894790 | James F. Sheridan | Neurological Surgery | 235 Park Rd, Dayton, OH 45419 | 2013-07-29 |
| 1487843470 | Dennis E Mcclure Md Inc | Neurological Surgery | 8654 N Main Street, Dayton, OH 45415-1328 | 2007-10-16 |
| 1427276948 | Michael Peter Verdon | Neurological Surgery | 8805 N Main St, Dayton, OH 45415-1333 | 2007-04-22 |
| 1962496364 | Dennis E Mcclure | Neurological Surgery | 8654 N Main St, Dayton, OH 45415-1328 | 2005-08-31 |
| 1972056554 | Shobhan Vachhrajani | Neurological Surgery | 1 Childrens Plz, Dayton, OH 45404 | 2016-07-29 |
| 1174948434 | Thomas F. Goodall, D. O., Inc. | Neurological Surgery | 425 W Grand Ave, Suite 3003, Dayton, OH 45405-4775 | 2014-02-24 |
| 1609110824 | Premier Health Specialists Inc | Neurological Surgery | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 | 2012-11-15 |
| 1053606459 | James Willard Robbins | Neurological Surgery | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2011-06-14 |
| 1891004339 | Kambiz Kamian | Neurological Surgery | 1 Childrens Plz, Dayton, OH 45404-1815 | 2010-10-01 |
| 1457512162 | Robert Michael Lober | Neurological Surgery | 1 Childrens Plz, Dayton, OH 45404 | 2008-06-24 |
| Find all providers in DAYTON | ||||
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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.