Gregory P Kooyman (NPI# 1346334406, PAC ID# 4880740869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1346334406 |
PAC ID by PECOS | 4880740869 |
Professional Enrollment ID | I20090916000135 |
Full Name | Gregory P Kooyman |
Organization Legal Name | OHIO WOUND AND HYPERBARIC CENTER, LLC |
Address |
2400 Miami Valley Dr Suite 220 Centerville OH 45459-4774 |
Phone Number | 9372812050 |
Gender | M |
Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1975 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6002092442 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360051 | MIAMI VALLEY HOSPITAL |
360076 | ATRIUM MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 | 9372812050 | OHIO WOUND AND HYPERBARIC CENTER, LLC |
Organization Legal Name | OHIO WOUND AND HYPERBARIC CENTER, LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Eilers | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Mary E Chellis | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Natalie M Williams | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Kathleen Malone | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Darin J Pangalangan | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Melanie Price | Physician Assistant | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Centerville, OH 45459-4774 |
Street Address |
2400 MIAMI VALLEY DR SUITE 220 |
City | CENTERVILLE |
State | OH |
Zip | 45459-4774 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory L Barbour | Podiatry | Premier Health Specialists Inc | 2400 Miami Valley Dr, Suite 160, Centerville, OH 45459-4774 |
Karen Shafer | Family Medicine | Premier Health Specialists Inc | 2400 Miami Valley Dr, Suite 160, Centerville, OH 45459-4774 |
Dawn D Staehling | Emergency Medicine | Miami Valley Emergency Specialists, LLC | 2400 Miami Valley Dr, Centerville, OH 45459-4774 |
Mark Eilers | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Donald W Mcmurray | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Services Network Ltd | 2400 Miami Valley Dr, Centerville, OH 45459-4774 |
Mary E Chellis | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Ashley Nichole Hughes | Nurse Practitioner | Premier Health Specialists Inc | 2400 Miami Valley Dr, Centerville, OH 45459-4774 |
Natalie M Williams | Emergency Medicine | Ohio Wound and Hyperbaric Center, LLC | 2400 Miami Valley Dr, Suite 220, Centerville, OH 45459-4774 |
Lisa K Bowman | Nurse Practitioner | Premier Health Specialists Inc | 2400 Miami Valley Dr, Suite 280, Centerville, OH 45459-4774 |
Aloiya Earl | Sports Medicine | Premier Health Specialists Inc | 2400 Miami Valley Dr, Suite 160, Centerville, OH 45459-4774 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas W Hirt | Family Medicine | Premier Integrated Medical Assoc Ltd | 6520 Acro Court, Centerville, OH 45459 |
James R Ouellette | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Matthew P Doepker | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Leandra Gray | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Kamran A Jafree | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
John H Matsuura | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Murtuza H Habeeb | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Jessica R Wozniak | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Sharda Gupta | Pathology | 5895 Batsford Dr, Dayton, OH 45459-1456 | |
Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | |
Find all physicians in zip 45459 |
City | CENTERVILLE |
Zip Code | 45459 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CENTERVILLE + PHYSICIAN ASSISTANT |
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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.