NPIMap

Organization Active NPI

Kettering Medical Center

Doing business as Kettering Reproductive Medicine

  • Ambulatory Fertility Facility
  • Kettering, OH
National Provider Identifier
1730293572
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
License
1017 Issued in OH
Legal business name
KETTERING MEDICAL CENTER
Doing business as
Kettering Reproductive Medicine
Practice address
3533 Southern Boulevard
Suite 4100
Kettering, OH 45429-1298
Phone
(937) 395-8444
NPI assigned
Aug 18, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
KETTERING MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mr. Clifton D Patten
Title
Cfo
Phone
(937) 395-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X 1017 OH Primary

Addresses

Primary practice location

3533 Southern Boulevard
Suite 4100
Kettering, OH 45429-1298

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 298-3399

Other names 1

  • Kettering Reproductive Medicine Doing business as

National Provider Directory

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

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1730293572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423660",
            "telephone_number": "937-298-3399",
            "fax_number": "937-522-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BOULEVARD",
            "address_2": "SUITE 4100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291298",
            "telephone_number": "937-395-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KETTERING MEDICAL CENTER",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-395-8992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "OH",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettering Reproductive Medicine",
            "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 Oct 27, 2015; 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.