MR. SHAD THEODORE BERNARD (NPI# 1902873268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902873268 |
| Entity Type | Individual |
| Full Name | MR. SHAD THEODORE BERNARD |
| Credential | MA, ATC/L |
| Practice Address |
1997 Miamisburg Centerville Rd Dayton OH 45459-3811 |
| Mailing Address |
5077 Tewkesbury Dr Dayton OH 45424-3752 |
| Practice Telephone | 9374016400 |
| Mailing Telephone | 9372371018 |
| Mailing Fax Number | 9374396240 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AT-001528 | OH | Other Service Providers |
| Street Address |
1997 MIAMISBURG CENTERVILLE RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45459-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437580 | Robert P Szewczyk | Nurse Anesthetist, Certified Registered | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-02-22 |
| 1750910998 | Michelle Ann Cornwell | Pharmacist | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2020-04-08 |
| 1245889088 | Rachel Allen | Pharmacist | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2019-09-04 |
| 1891035325 | Janhvi Sookram | Obstetrics & Gynecology | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2013-02-20 |
| 1912117771 | Lynne Diane Schwaberow | Registered Nurse | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-05-23 |
| 1811107675 | Frankie Sue Campbell | Registered Nurse | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-05-23 |
| 1891816922 | Southview Hospital Pharmacy | General Acute Care Hospital | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-04-03 |
| 1033296827 | Roberta Elizabeth Galford | Anesthesiology | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-11-01 |
| 1043326580 | Jason Tackett | Emergency Medicine | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-08-21 |
| 1952416489 | Stacy Peterson | Emergency Medicine | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-08-21 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384333 | Robert Rider | Specialist | 2077 Miamisburg Centerville Rd, Dayton, OH 45459-3846 | 2020-04-03 |
| 1164829446 | Christopher Randall | Specialist | 124 Murray Dr, Dayton, OH 45403-2846 | 2014-12-02 |
| 1164845798 | Terri Dinkelaker | Specialist | 200 S. Keowe St, Dayton, OH 45402-2854 | 2014-02-03 |
| 1629212568 | Paula Kay Baker | Specialist | 349 S. Main St., Dayton, OH 45402 | 2009-04-22 |
| 1104065275 | Dayton Cardiology and Vasc Cons Inc | Specialist | 301 W 1st St Ste 100, Dayton, OH 45402-3046 | 2009-02-13 |
| 1538352596 | Michelle Hoffman | Specialist | 7413 Bunker Ct, Dayton, OH 45459-4201 | 2007-08-23 |
| 1871795179 | Geneva Esquiline Carnahan | Specialist | 4598 Arcadia Blvd, Dayton, OH 45432-3108 | 2007-05-31 |
| 1891903324 | Susan Carol Robinson | Specialist | 265 E Whipp Rd, Dayton, OH 45459-2105 | 2007-05-18 |
| 1225241029 | Dayton Occupational Medical Center Ltd | Specialist | 2597 Needmore Rd, Dayton, OH 45414-4203 | 2007-05-08 |
| 1730205030 | Danny L Reveal, M.d., Inc. | Specialist | 2300 Far Hills Ave, Dayton, OH 45419-1550 | 2007-03-21 |
| 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.