SYCAMORE INTERNAL MEDICINE AND WOMEN'S WELLNESS CENTER INC (NPI# 1891837076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891837076 |
| Entity Type | Organization |
| Organization Name | SYCAMORE INTERNAL MEDICINE AND WOMEN'S WELLNESS CENTER INC |
| Practice Address |
4000 Miamisburg Centerville Rd Suite 207 Miamisburg OH 45342-3758 |
| Mailing Address |
Po Box 270 Miamisburg OH 45343-0270 |
| Practice Telephone | 9378666655 |
| Practice Fax Number | 9378666595 |
| Mailing Telephone | 9378666655 |
| Mailing Fax Number | 9378666595 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DR. VIDA FARHANGI (PRESIDENT) |
| Authorized Official Telephone | 9378666655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
35.092005 | OH | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 35-07-8961F | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000233015 | 01 | |
| OH | CIGNA | 0565421 | 01 |
| OH | 2232873 | 05 | |
| UNITED HEALTHCARE | 76-00115 | 01 | |
| OH | RAILROAD MEDICARE | DB6813 | 01 |
| OH | HUMANA | D-78961 | 01 |
| OH | RENDERING PROVIDER | 1851374615 | 01 |
| OH | RENDERING PROVIDER NPI | 1851390983 | 01 |
| OH | MEDICAL MUTUAL OF OHIO | 274966422004 | 01 |
| OH | AETNA | 2678666 | 01 |
| OH | CIGNA | 6199428002 | 01 |
| OH | ANTHEM | 000000578348 | 01 |
| OH | UNITED HEALTHCARE | 2472827 | 01 |
| BCBS | 000000233015 | 01 | |
| OH | AETNA | 7028685 | 01 |
| Street Address |
4000 MIAMISBURG CENTERVILLE RD SUITE 207 |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608410 | Daniel J Keane | Podiatrist | 4000 Miamisburg Centerville Rd, Ste 201, Miamisburg, OH 45342-3758 | 2005-06-13 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1326674318 | Sara Van Woerkom | Speech-Language Pathologist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-03-21 |
| 1063078749 | Impact Physician Group, Ohio, LLC | Internal Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2019-05-17 |
| 1336650423 | Ian Muncy | Pharmacist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-10-17 |
| 1962927814 | Amy Rolfes | Physical Therapist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-08-11 |
| 1285094359 | Midwest Hyperbaric Physicians, Inc. | Preventive Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2016-03-02 |
| 1740654490 | Sarah Kaufman | Physician Assistant | 4000 Miamisburg Centerville Rd, Suite 207, Miamisburg, OH 45342-7615 | 2015-11-18 |
| 1992197503 | Dayton Physicians, LLC | Urology | 4000 Miamisburg Centerville Rd, Suite 405, Miamisburg, OH 45342-7615 | 2015-02-19 |
| 1184040149 | Theresa Zwiesler | Nurse Practitioner | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346458189 | Naveed Syed Iqbal | Internal Medicine | 10358 Springpointe Cir Apt L, Miamisburg, OH 45342-0932 | 2007-05-17 |
| 1083834774 | Christine M.l. Curran | Internal Medicine | 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 | 2007-04-26 |
| 1003980186 | Sayyah Ajlouni | Internal Medicine | 527 East Central Avenue, Miamisburg, OH 45342 | 2006-11-20 |
| 1548256639 | Elaine Knoll Gaglione | Internal Medicine | 5 Alexandersville Rd, Aka 5 S. Alex Rd, Miamisburg, OH 45342-3672 | 2005-09-23 |
| 1023013372 | David F Lim | Internal Medicine | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2005-06-14 |
| 1063078749 | Impact Physician Group, Ohio, LLC | Internal Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2019-05-17 |
| 1154852861 | Stephen M Hudson | Internal Medicine | 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 | 2017-03-23 |
| 1508211152 | Krisalyn Swayze | Internal Medicine | 2115 Leiter Rd, Miamisburg, OH 45342 | 2016-05-02 |
| 1033504170 | Paul Obeng-okyere | Internal Medicine | 2115 Leiter Rd, Miamisburg, OH 45342 | 2015-04-06 |
| 1558603746 | Miriam Atira Harewood-makola | Internal Medicine | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2013-03-26 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
Please comment or provide details below to improve the information on SYCAMORE INTERNAL MEDICINE AND WOMEN'S WELLNESS CENTER INC.
| 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.