Active NPI
Jeffrey Brandon Amburgey, DO
- Emergency Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34011320
- Practice address
- 405 W Grand Ave
Dayton, OH 45405-4720 - Phone
- (937) 723-3200
- NPI assigned
- Jul 18, 2012
- Last updated
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34011320 | OH | Primary |
Addresses
Primary practice location
405 W Grand Ave
Dayton, OH 45405-4720
Mailing address
405 W Grand Ave
Dayton, OH 45405-4720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34011320 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| PHS Emergency Billing LLC | Emergency Medicine | Current | Accepting new patients |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
2400 Lakeview Dr
#150
Beavercreek, OH 45431
950 S Main St
Celina, OH 45822
Phone (419) 586-1611
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1578387486
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
-
dba mercer health medical equipment
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1124373998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054720",
"telephone_number": "937-723-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBURGEY",
"first_name": "JEFFREY",
"middle_name": "BRANDON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-18",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34011320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
- Ambers First Choice Home Health, LLC
- Julianne Aviles Ambion
- Jade Sabree Ambrose
- Ambulance Billing Network LLC
- Ambulatory Neurological Services, LLC
- AMC Ohio LLC (Equitas Health Pharmacy #2)
- Amedequip LLC
- Marvin Iaed Amen, MD
- Amer and Sons Lab Corporation (PureView Labs)
- America's Best Contacts & Eyeglasses
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.