Male Reproductive Medicine of Southwest Ohio

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35-086518 Issued in OH

Legal business name

MALE REPRODUCTIVE MEDICINE OF SOUTHWEST OHIO

Practice address

5692 Far Hills Ave
Kettering, OH 45429-2239

Phone

(937) 434-9901

Fax

(937) 434-9107

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jeni R Bennett

Title

Credentialing Manager

Phone

(937) 435-6136

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea L Arthur, CRNA

  • Certified Registered Nurse Anesthetist
  • Kettering, OH
  • NPI 1386619195
  NPD (past)
• Aliya Usman Khan, MD

  • Rheumatology Physician
  • Dayton, OH
  • NPI 1487638870
  NPD (past)
• Michael Pollander, CRNA

  • Certified Registered Nurse Anesthetist
  • Kettering, OH
  • NPI 1619946852
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1275639908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 ORCHARD RUN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454492831",
            "telephone_number": "937-435-3110",
            "fax_number": "937-435-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292239",
            "telephone_number": "937-434-9901",
            "fax_number": "937-434-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALE REPRODUCTIVE MEDICINE OF SOUTHWEST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JENI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "937-435-6136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35-086518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Ann Mahle, RN, CNP
• Margaret Ann Maimon, APRN FAMILY
• Matthew Elliott Mainord, MD
• Steve E Makofka, CFLC
• Megan Louise Makse, PHARMD
• Aamir I Malik, MD
• Sharal Mall, DO
• Joseph Lynn Mallios, LPN
• Bethany Mallory
• Meagan Elaine Maloney

• Urology Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.