Asthma and Respiratory Center of South Dayton Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ASTHMA AND RESPIRATORY CENTER OF SOUTH DAYTON INC

Practice address

8371 Yankee St
Centerville, OH 45458-1810

Phone

(937) 859-5864

NPI assigned

Dec 20, 2007

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fred Arthur Wagshul, M.D.NPI 1336137595

Title

Owner/ Ceo

Phone

(937) 859-5864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

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.

• Fred Arthur Wagshul, MD

  • Family Health Clinical Nurse Specialist
  • Dayton, OH
  • NPI 1336137595
  Medicare reassignment Care Compare group Authorized official
• Kristal Ledbetter, FNP-C

  • Primary Care Nurse Practitioner
  • Centerville, OH
  • NPI 1467137018
  Medicare reassignment Care Compare group NPD
• Denisea Karen Mount, FNP-C

  • Family Nurse Practitioner
  • Springboro, OH
  • NPI 1902423726
  Medicare reassignment Care Compare group NPD
• Mazen Abdel-Hadi, M.D.

  • Pulmonary Disease Physician
  • Joliet, IL
  • NPI 1356468672
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1508040908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636746",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "937-859-5864",
            "fax_number": "937-859-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 YANKEE ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581810",
            "telephone_number": "937-859-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA AND RESPIRATORY CENTER OF SOUTH DAYTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "WAGSHUL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "937-859-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.