Kendra Vonderembse (NPI# 1093058083, PAC ID# 0446539761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093058083 |
| PAC ID by PECOS | 0446539761 |
| Professional Enrollment ID | I20161109001202 |
| Full Name | Kendra Vonderembse |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
38 Woodcroft Trl Beavercreek OH 45430-1980 |
| Phone Number | 9374273333 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360360 | SOIN MEDICAL CENTER |
| 360026 | GREENE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 38 Woodcroft Trl, Beavercreek, OH 45430-1980 | 9374273333 | PROVIDENCE MEDICAL GROUP |
| 2912 Springboro W, Moraine, OH 45439-1674 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Street Address |
38 WOODCROFT TRL |
| City | BEAVERCREEK |
| State | OH |
| Zip | 45430-1980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Andrea Marion Malson | Nurse Practitioner | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Pamela J Hagwood | Nurse Practitioner | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Sara J Whitlock | Nurse Practitioner | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Josephine Adams | Nurse Practitioner | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Ryan Bayko | Family Practice | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Steven Don Folkerth | Internal Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Geitgey | Nurse Practitioner | 42 Woodcroft Trail, Suite A, Beavercreek, OH 45430 | |
| Jennifer Lynn Taylor | Nurse Practitioner | Pst Services 2000 LLC | 42 Woodcroft Trail, Suite A, Dayton, OH 45430-1996 |
| Erin M Zehringer | Nurse Practitioner | Pst Services 2000 LLC | 42 Woodcroft Trail, Suite A, Dayton, OH 45430-1996 |
| Michael L Gregg | Diagnostic Radiology | Zwanger and Pesiri Radiology Group LLP | 3888 Oakview Dr, Beavercreek, OH 45430-5113 |
| City | BEAVERCREEK |
| Zip Code | 45430 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BEAVERCREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kendra Vonderembse.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.