Alliance Physicians Inc
Organization Active NPI Obstetrics & Gynecology Physician · Kettering, OH
NPI 1992076178 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1992076178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ALLIANCE PHYSICIANS INC
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 429-7350
- NPI assigned
- Jan 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Timothy Y Ko
- Title
- Cfo
- Phone
- (937) 558-3223
Other NPIs on the same Medicare enrollment 25
Practitioners 13
-
William T Allnutt, APRN-CNP
-
David Evans, PA-C
-
Katerina Fellers, PA-C
-
Melissa Eileen Hanna, D.O.
-
Raymond Luna, MD
-
David Malesko, PA-C
-
Darcie Rockstroh, CNP
-
Alexander J Roux, PA
-
Alyssa Ann Vactor, APRN-CNP
-
Richard W Winger, D.O.
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 429-7350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059749 | Medicaid | OH |
Other names
- KMC OB on call
Other providers in Kettering, OH
- Alliance Physicians Inc
- Alliance Physicians Inc
- Alliance Physicians Inc
- Alliance Physicians Inc
- Alliance Physicians Inc
- Alliance Physicians, Inc.
- Eva L Allison
- Douglas D Almoney
- William Douglas Almoney
- Linda D Alston
All providers in Kettering, OH · Obstetrics & Gynecology 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.