City of Kettering

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02032860013 Issued in OH

Legal business name

CITY OF KETTERING

Practice address

4745 Hempstead Station Dr
Kettering, OH 45429-5165

Phone

(937) 298-2489

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Matthew Greeson

Title

City Manager

Phone

(937) 296-2489

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Kettering Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1285634980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78000 DEPT 781427",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780001",
            "telephone_number": "937-291-7850",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295165",
            "telephone_number": "937-298-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KETTERING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "GREESON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "937-296-2489"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02032860013",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2420759",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000301588",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00041705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettering Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas P Christoff, MD
• Linda Wilkins Chu, M.D.
• Laura Michele Church, AU.D.
• Emanuela Cimpeanu, MD
• Lauren Marie Cimperman
• James R Clark, DO
• Joni Clark
• Megan Alise Clark, PHARMD
• Ryan Stewart Clark, D.O.
• Constance Clarke

• Ambulance in Kettering, OH
• Providers in Kettering, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.