Active NPI
Mvhe Inc
- Nurse Practitioner
- Kettering, OH
National Provider Identifier
1457542722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MVHE INC
- Practice address
- 2115 E Dorothy LN
Kettering, OH 45420-1176 - Phone
- (937) 296-1646
- Fax
- (937) 296-1647
- NPI assigned
- Aug 5, 2007
- Organization subpart
- Yes
- Parent organization
- MVHE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Prunier
- Title
- President and Ceo
- Phone
- (937) 208-8252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
2115 E Dorothy LN
Kettering, OH 45420-1176
Mailing address
2115 E Dorothy LN
Kettering, OH 45420-1176
Phone (937) 296-1646
Other names 1
- Premier ExpressCare of Kettering
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000553 | OH | Part B Supplier - Clinic/Group Practice | 9537066584 |
Receives reassigned benefits from 777 practitioners 47 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Franklin, OH; Huber Heights, OH; Jamestown, OH; Kettering, OH; Lebanon, OH; Liberty Township, OH; Middletown, OH; Monroe, OH… |
Other NPIs on the same Medicare enrollment 47
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Comprehensive Primary C
Locations
2115 E Dorothy Ln
Kettering, OH 45420
Phone (937) 299-8437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1457542722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 E DOROTHY LN",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201176",
"telephone_number": "937-296-1646",
"fax_number": "937-296-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 E DOROTHY LN",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201176",
"telephone_number": "937-296-1646",
"fax_number": "937-296-1647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVHE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MVHE INC",
"enumeration_date": "2007-08-05",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "PRUNIER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "937-208-8252"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier ExpressCare of Kettering",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.