RAMIC KETTERING, L.L.C. (NPI# 1871788315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871788315 |
Entity Type | Organization |
Organization Name | RAMIC KETTERING, L.L.C. |
Practice Address |
580 Lincoln Park Blvd Suite 100 Kettering OH 45429-3474 |
Mailing Address |
100 Paragon Dr Montvale NJ 07645-1779 |
Practice Telephone | 9372983510 |
Practice Fax Number | 9372984231 |
Mailing Telephone | 2015738080 |
Mailing Fax Number | 2015734629 |
Enumeration Date | 2007-09-07 |
Last Update Date | 2007-09-07 |
Authorized Official Name | ANTHONY SHIPPAM (PRESIDENT) |
Authorized Official Telephone | 3024720269 |
Is Organization Subpart | Y |
Parent Organization Name | FEG, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 0839IC | OH | Ambulatory Health Care Facilities |
Street Address |
580 LINCOLN PARK BLVD SUITE 100 |
City | KETTERING |
State | OH |
Zip Code | 45429-3474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831177872 | Jeffrey Keith Hoffman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 | 2006-01-09 |
1063870699 | Interventional Pathology of Ohio LLC | Pathology | 580 Lincoln Park Blvd, 344, Kettering, OH 45429-3474 | 2016-02-10 |
1992123608 | Holly Broach | Occupational Therapy Assistant | 580 Lincoln Park Blvd, Kettering, OH 45429-3474 | 2014-03-31 |
1518283712 | Premier Health Specialists Inc | Surgery | 580 Lincoln Park Blvd, Suite 300, Kettering, OH 45429-3474 | 2010-04-13 |
1548400880 | Sharon Halter | Perfusionist | 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 | 2009-02-26 |
1265672505 | Douglas Tidwell | Perfusionist | 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 | 2009-02-26 |
1306091350 | Aaron Joseph Siefker | Perfusionist | 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 | 2008-11-18 |
1124272976 | Sunishka M Wimalawansa | Surgery | 580 Lincoln Park Blvd, Suite 255, Kettering, OH 45429-3474 | 2008-11-06 |
1154451185 | Deborah W Serenius | Dietitian, Registered | 580 Lincoln Park Blvd, Suite 266, Kettering, OH 45429-3474 | 2007-03-07 |
1205948452 | Michael T La Nou | Physician Assistant | 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295022234 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 1 Reynolds Way, Kettering, OH 45430-1586 | 2011-06-28 |
1679652325 | Midwest Therapy Associates, Inc. | Clinic/Center | 3122 Wilmington Pike, Kettering, OH 45429-4004 | 2006-11-03 |
1003919176 | Kettering Affiliated Health Services | Clinic/Center | 580 Lincoln Park Boulevard, Suite 200, Kettering Breast Evaluation Center, Kettering, OH 45429 | 2006-09-06 |
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1730707662 | Evolution Through Mind, Body, and Spirit, LLC | Clinic/Center | 14055 Cedar Rd Ste 200, Cleveland, OH 44118-3333 | 2020-07-07 |
1710501259 | Jean K Hoffman, Dc | Clinic/Center | 4555 Sugar Berry Ln, Hilliard, OH 43026-1977 | 2020-06-01 |
1588285712 | Springway Medical and Addiction Treatment Center | Clinic/Center | 8515 Flowering Cherry Dr, Blacklick, OH 43004-8832 | 2020-04-28 |
1518587997 | Owlbridge Wellness | Clinic/Center | 5146 Renaissance Park Dr, Franklin, OH 45005-9697 | 2020-04-25 |
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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.