Alliance Physicians, Inc.
Organization Active NPI Sleep Medicine (Psychiatry & Neurology) Physician · Beavercreek, OH
NPI 1306235114 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1306235114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X
- Legal business name
- ALLIANCE PHYSICIANS, INC.
- Practice address
- 3095 Dayton Xenia Rd
Suite 900
Beavercreek, OH 45434-4305 - Phone
- (937) 458-4010
- Fax
- (937) 912-0169
- NPI assigned
- Jan 16, 2015
- Organization subpart
- No
Authorized official
- Name
- Timothy Y Ko
- Title
- Cfo
- Phone
- (937) 558-3223
Other NPIs on the same Medicare enrollment 25
Practitioners 11
-
Khadija L Ahmed, M.D.
-
Julie R Broering, M.D.
-
Penny B Drazer, CNP
-
Laura Renee Maag, CNP
-
John E Mauer, MD
-
J Michael Thuney, MD
-
Kerri Lyn Gibson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000529 | OH | Part B Supplier - Clinic/Group Practice | 0840104360 |
Receives reassigned benefits from 528 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | |||
| Sleep Medicine (Psychiatry & Neurology) Physician |
2084S0012X | Yes | ||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
3095 Dayton Xenia Rd
Suite 900
Beavercreek, OH 45434-4305
Mailing address
1 Prestige PL
Suite 550
Miamisburg, OH 45342-3794
Phone (937) 752-2306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120816 | Medicaid | OH |
Other names
- Sleep Disorders Centers-Kettering Health Network
Other providers in Beavercreek, OH
- Alliance Physician Inc
- Alliance Physician Inc
- Alliance Physicians Inc
- Alliance Physicians Inc
- Alliance Physicians Inc
- Samson Eneyufuo Alliu
- William T Allnutt
- Geetha C Ambalavanan
- Martin P Ambrose
- American Health Care Service LLC
All providers in Beavercreek, OH · Sleep Medicine (Psychiatry & Neurology) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.