Jason R Faber (NPI# 1144470014, PAC ID# 9830375526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144470014 |
| PAC ID by PECOS | 9830375526 |
| Professional Enrollment ID | I20110513000228 |
| Full Name | Jason R Faber |
| Organization Legal Name | SYCAMORE PRIMARY CARE GROUP |
| Address |
2115 Leiter Rd Suite 300 Miamisburg OH 45342-3698 |
| Phone Number | 9373846800 |
| Gender | M |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4688570278 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360079 | KETTERING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 | 9373846800 | SYCAMORE PRIMARY CARE GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SYCAMORE PRIMARY CARE GROUP |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Lim | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Gregory R Wise | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Robert Smith | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Robert Hawkins | Rheumatology | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Keren Ray | Internal Medicine | Sycamore Primary Care Group | 4000 Miamisburg Centerville Rd, Suite 450, Miamisburg, OH 45342-3908 |
| Deborah L Lalich | Nurse Practitioner | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Leah M Liddy | Nurse Practitioner | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Mary Elizabeth Hill | Nurse Practitioner | Sycamore Primary Care Group | 3359 Kemp Rd, Suite 240, Beavercreek, OH 45431-2770 |
| Stephen Mcdonald | Endocrinology | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| John Shrader | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Street Address |
2115 LEITER RD SUITE 300 |
| City | MIAMISBURG |
| State | OH |
| Zip | 45342-3698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Moore | Nurse Practitioner | Alliance Physicians Inc | 2115 Leiter Rd, Miamisburg, OH 45342-3659 |
| David F Lim | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Judith K Stutes | Physician Assistant | Alliance Physicians Inc | 2115 Leiter Rd, Miamisburg, OH 45342-3659 |
| Gregory R Wise | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Zahra Heidari | Family Medicine | Alliance Physicians Inc | 2115 Leiter Rd, Miamisburg, OH 45342-3659 |
| Robert Smith | Internal Medicine | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Robert Hawkins | Rheumatology | Sycamore Primary Care Group | 2115 Leiter Rd, Suite 300, Miamisburg, OH 45342-3698 |
| Aida E Scanlon | Physician Assistant | Alliance Physicians Inc | 2115 Leiter Rd, Miamisburg, OH 45342-3659 |
| William Brent Ashcraft | Family Medicine | Alliance Physicians Inc | 2115 Leiter Rd, Miamisburg, OH 45342-3659 |
| Douglas Matthew Klein | Nurse Practitioner | Alliance Physicians Inc | 2115 Leiter Rd, Miamisburg, OH 45342-3659 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Percy Frasier | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Kelly Lynn Welsh | Certified Clinical Nurse Specialist (cns) | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Gary A Mueller | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Mukund Dole | Hematology/oncology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Christopher T Brown | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Christopher J Bugnitz | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Susan Pena Almazan | Endocrinology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Jeffrey S Christian | General Surgery | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Stephen Wolf | Pulmonary Disease | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Edward J Walz Jr. | Anesthesiology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Find all physicians in zip 45342 | |||
| City | MIAMISBURG |
| Zip Code | 45342 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MIAMISBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jason R Faber.
| 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.