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NPI Code Detail

MEDICARE: DAYTON CHILDREN'S HOSPITAL

MEDICARE: DAYTON CHILDREN'S HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist
3364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
4101YP2500XProfessional Counselor
5101YM0800XMental Health Counselor
6363LP0200XPediatric Nurse Practitioner
7103TC2200XClinical Child & Adolescent Psychologist
81041C0700XClinical Social Worker
92084P0804XChild & Adolescent Psychiatry Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H198500OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952480030
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYTON CHILDREN'S HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 933421
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-5072
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHILDRENS PLZ
Second Line :
City : DAYTON
State : OH
Zip : 45404-1815
Country : US
Telephone Number : 937-641-3401
Fax Number :
Authorized Official
Title or Position : C.F.O.
Name : MR. CHRIS BERGMAN
Credential : CFO
Telephone Number : 937-641-3338
Provider Enumeration Date : 11/02/2006
Last Update Date : 01/21/2026

Similar Medicare Providers

1548045503 — DAYTON CHILDREN'S HOSPITAL
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-4000
Practice Fax: 937-641-4500
1801890793 — MICHAEL ALAN RALSTON MD
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-3418
Practice Fax: 937-641-5413
1114921657 — JILL VISTORIA NARRON MD
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-3418
Practice Fax: 937-641-4500
1639175649 — JOSEPH EUGENE ROSS MD
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-3418
Practice Fax: 937-641-4500
1437156973 — LUBABATU ABDURRAHMAN MD
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-3418
Practice Fax: 937-641-4500
1649279530 — KIMBERLY S SPARKS CRNA
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-3477
Practice Fax: 937-641-5410
1407857063 — DR. SAMUEL KWAMI DZODZOMENYO MD
Practice Location Address:
1 CHILDRENS PLZ
DAYTON, OH
45404-1815
Practice Phone: 937-641-4000
Practice Fax: 937-641-4500

Directions to “DAYTON CHILDREN'S HOSPITAL ” Practice Location

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