JACK C LUNDERMAN JR. (NPI# 1871694679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871694679 |
Entity Type | Individual |
Full Name | JACK C LUNDERMAN JR. |
Credential | M.D. |
Practice Address |
7901 Schatz Pointe Dr Suite A Dayton OH 45459-3856 |
Practice Telephone | 9374389841 |
Practice Fax Number | 9374389851 |
Mailing Telephone | 9374389841 |
Mailing Fax Number | 9374389851 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2017-01-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-052430 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0720689 | 05 |
Street Address |
7901 SCHATZ POINTE DR SUITE A |
City | DAYTON |
State | OH |
Zip Code | 45459-3856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205819125 | Bradley Alan Weber | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2005-11-23 |
1861814188 | Synaptic Solutions LLC | Nurse Practitioner | 7901 Schatz Pointe Dr, Suite A, Dayton, OH 45459-3856 | 2014-01-07 |
1700217494 | Tyler Douglas Green | Nurse Practitioner | 7901 Schatz Pointe Dr, Suite A, Dayton, OH 45459-3856 | 2013-12-05 |
1780823237 | S Jean Budding Inc | Registered Nurse | 7901 Schatz Pointe Dr, Suite A, Dayton, OH 45459-3856 | 2009-02-06 |
1861685802 | Usd Dayton, Inc. | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2007-08-23 |
1396962478 | Lynn M Carpenter | Audiologist | 7901 Schatz Pointe Dr, Dayton, OH 45459-3824 | 2007-04-19 |
1326172115 | Midstates Radiology Consultants | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2007-03-15 |
1235234352 | Michael S. Chune Do Inc. | Durable Medical Equipment & Medical Supplies | 7901 Schatz Pointe Dr, Ste. B, Dayton, OH 45459-3856 | 2006-09-13 |
1538103296 | Michael S. Chune Do Inc. | Nurse Practitioner | 7901 Schatz Pointe Dr, Ste. B, Dayton, OH 45459-3856 | 2006-06-15 |
1154308476 | Usd Dayton, Inc. | Clinic/Center | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2005-12-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
Find all providers in zip 45459 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407406697 | New Life Ketamine Clinic LLC | Psychiatry & Neurology | 7905 Schatz Pointe Dr Ste 100, Dayton, OH 45459-3856 | 2019-09-19 |
1558896100 | Elizabeth Schindler | Psychiatry & Neurology | 301 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2017-04-20 |
1538579768 | Kari Sharyce Harper | Psychiatry & Neurology | Wright State University 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2014-04-28 |
1629415443 | Musammar Ghani | Psychiatry & Neurology | Wsu, Dept of Psychiatry, 627 Edwin C. Moses Boulevard, Elizabeth Place, E. Medical Plaza, 1st Floor, Dayton, OH 45417 | 2013-06-03 |
1316293277 | John Robert Weiffenbach | Psychiatry & Neurology | 1 Wyoming St Ste 3115, Dayton, OH 45409-2722 | 2012-07-30 |
1528325933 | James Gibson Pennington | Psychiatry & Neurology | 1800 Van Patton Dr, Dayton, OH 45433-5335 | 2012-04-23 |
1134459878 | Theresa Bernadette Belen | Psychiatry & Neurology | 627 S. Edwin C. Moses Blvd., Wsusom Department of Psychiatry, Dayton, OH 45417-1461 | 2009-12-31 |
1184871782 | Aradhana Gill | Psychiatry & Neurology | 1020 Wild Hickory Ln, Dayton, OH 45458-6092 | 2008-08-26 |
1376714675 | Ryan Christopher Mast | Psychiatry & Neurology | 627 South Edwin C. Moses Blvd, Dayton, OH 45408-1461 | 2008-03-14 |
1417148784 | Braumiller Psychiatric Associates, Inc. | Psychiatry & Neurology | 143 Valentine Dr, Dayton, OH 45431-1923 | 2007-08-02 |
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.