Visionary Health by M2C

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VISIONARY HEALTH BY M2C

Doing business as

Maranatha Medical Center

Practice address

5900 N Main St
Dayton, OH 45415-3150

Phone

(937) 271-3250

NPI assigned

Jun 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha Monica Corradine, M.D.

Title

Owner

Phone

(937) 271-3250

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Maranatha Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1245724236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153150",
            "telephone_number": "937-271-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153150",
            "telephone_number": "937-271-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY HEALTH BY M2C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CORRADINE",
        "authorized_official_first_name": "MARTHA MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-271-3250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052380",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CO4083015",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maranatha Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Vires, CDCA
• Michael George Vish, MD
• Nora Labiano Vish, MD
• Vision Service Corporation
• Vision Service Corporation
• Visiting Nurse Association
• Visiting Queens Home Care Services
• Helen Louise Vislosky, PTA
• Visual Experiences
• Visualeyes, Inc.

• Health Service Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.