ALLIANCE PHYSICIAN INC NPI 1518249812

NPI Information

  • NPI: 1518249812
  • Provider Name: ALLIANCE PHYSICIAN INC
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Doing Business As: KETTERING CARDIOTHORACIC & VASCULAR SURGEONS
  • Address: 3533 SOUTHERN BLVD
    SUITE 5650
    KETTERING, OH
    ZIP 45429
  • Phone: (937) 294-3611

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NPI Details

ALLIANCE PHYSICIAN INC is a thoracic surgery cardiothoracic vascular surgery in Kettering, OH. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. ALLIANCE PHYSICIAN INC NPI is 1518249812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kettering Cardiothoracic & Vascular Surgeons.

The provider's business location address is:

3533 SOUTHERN BLVD
SUITE 5650
KETTERING, OH
ZIP 45429-263
Phone: (937) 294-3611
Fax: (937) 294-9010

The provider's authorized official is Daniel D Haibach .
The authorized official title is Director Business Development and has the following contact phone number (937) 558-3222.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19306898MEDICARE PINOHIO
22712872MEDICAIDOHIO

What is NPI?

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This page was last updated on: 11/21/2025

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