MARIE AUDETT (NPI# 1891920823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891920823 |
| Entity Type | Individual |
| Full Name | MARIE AUDETT |
| Credential | MD |
| Practice Address |
4881 Sugar Maple Dr General Surgery Clinic Dayton OH 45433-5529 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 9372579922 |
| Practice Fax Number | 9376561102 |
| Mailing Telephone | 5135855506 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2018-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35 124034 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
35.124034 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4881 SUGAR MAPLE DR GENERAL SURGERY CLINIC |
| City | DAYTON |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821611989 | Se Ha Park | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-05-24 |
| 1841812898 | George Manoj Paul | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-05-13 |
| 1053949198 | Jacob Aaron Freeze | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-04-01 |
| 1326672619 | Caleb Evan Mcclary | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-02-26 |
| 1730729542 | Alan Eric Piper | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-01-09 |
| 1073161147 | Kristin Kim | Dentist | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-08-30 |
| 1225681117 | Kaleb Aaron Specht | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-07-19 |
| 1891347662 | Jessica Marie Gregor | Physician Assistant | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-07-11 |
| 1134785165 | Ethan Wilston | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-05-15 |
| 1700381522 | Zachary Gordon Candela | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2018-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598717308 | Health Specialists of Dayton Inc | Surgery | 3535 Salem Ave, Ste 201, Dayton, OH 45406-2645 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003178427 | Andrew Loudon | Surgery | 395 W 12th Ave Ste 634, Columbus, OH 43210 | 2012-06-12 |
| 1306070867 | Robert Edward Falcone | Surgery | 150 E Lafayette St, Columbus, OH 43215-2948 | 2009-05-12 |
| 1720277494 | Amy Marie Jarvis | Surgery | 1 Akron General Ave Ste 359, Akron, OH 44307-2432 | 2007-10-18 |
| 1407811862 | William F Fallon | Surgery | 550 E Market St, Suite 103, Akron, OH 44304-1613 | 2006-04-19 |
| 1114586641 | Katharine Tavani | Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-06-09 |
| 1902294556 | Victor Dizon, D.o., Facos, Inc | Surgery | 793 W State St, Columbus, OH 43222-1551 | 2015-01-06 |
| 1972865350 | Kevin Vincent Schrand | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-06-12 |
| 1255613659 | Alliance Physician Inc | Surgery | 3535 Southern Blvd, Suite A, Kettering, OH 45429-1221 | 2011-09-13 |
| 1174803282 | Esther Tseng | Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2011-08-19 |
| 1619137601 | Urmil B Pandya | Surgery | 111 S Grant Ave, Trauma Services, Columbus, OH 43215-4701 | 2008-06-12 |
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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.