NPIMap

Organization Active NPI

Kettering Sports Medicine

  • General Acute Care Hospital
  • Tipp City, OH
National Provider Identifier
1346686144
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PT 009747 Issued in OH
Legal business name
KETTERING SPORTS MEDICINE
Practice address
25 S Tippecanoe Dr
Tipp City, OH 45371-1167
Phone
(937) 669-5757
Fax
(937) 669-1270
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Cathy Wells
Title
Business Manager
Phone
(937) 395-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AT 001770 OH
General Acute Care Hospital 282N00000X PT 009747 OH Primary

Addresses

Primary practice location

25 S Tippecanoe Dr
Tipp City, OH 45371-1167

Mailing address

25 S Tippecanoe Dr
Tipp City, OH 45371-1167
Phone (937) 669-5757

National Provider Directory

National Provider Directory
Tax ID family
Kettering Memorial Hosp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 S Tippecanoe Dr
Tipp City, OH 45371
Phone (937) 669-5757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1346686144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711167",
            "telephone_number": "937-669-5757",
            "fax_number": "937-669-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711167",
            "telephone_number": "937-669-5757",
            "fax_number": "937-669-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "937-395-3900"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "AT 001770",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "PT 009747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.