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DAYTON CENTER FOR NEUROLOGICAL DISORDERSINC NPI 1750833760


NPI Information

NPI: 1750833760
Provider Name: DAYTON CENTER FOR NEUROLOGICAL DISORDERS,INC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 36D2083034

Address:
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
ZIP 45459
Phone: (937) 439-6186
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DAYTON CENTER FOR NEUROLOGICAL DISORDERS,INC is a nurse practitioner in Centerville, OH. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DAYTON CENTER FOR NEUROLOGICAL DISORDERS,INC NPI is 1750833760. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH
ZIP 45459-811
Phone: (937) 439-6186
Fax: (937) 723-2638

The provider's authorized official is Kenneth Pugar .
The authorized official title is Owner/d.o. and has the following contact phone number (937) 439-6186.

The CLIA number assigned to this NPI record is 36D2083034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerAPRN.CNP.019636OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1APRN.CNP.019636OTHEROHIOLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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