KETTERING HEALTH MEDICAL GROUP PRIMARY CARE – NPI #1811121619
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

KETTERING HEALTH MEDICAL GROUP PRIMARY CARE is a provider located in MIAMISBURG, OH. NPPES has assigned the NPI number 1811121619 to KETTERING HEALTH MEDICAL GROUP PRIMARY CARE on May 07, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KETTERING HEALTH MEDICAL GROUP PRIMARY CARE” is a dba name, the actual legal business name for this organization is ALLIANCE PHYSICIANS INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jan 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETTERING HEALTH MEDICAL GROUP PRIMARY CARE below.

NPI Profile for
ALLIANCE PHYSICIANS INC

NPI Number
1811121619
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLIANCE PHYSICIANS INC
Doing Business As (dba): KETTERING HEALTH MEDICAL GROUP PRIMARY CARE
Primary location
415 BYERS RD
SUITE 300
MIAMISBURG, OH 45342-3696
Phone: (937) 866-2494 Fax: (937) 866-8494
Mailing address
1 PRESTIGE PL STE 550
MIAMISBURG, OH 45342-6115
Phone: (937) 762-1310 Fax: (937) 522-8068
Organization Subpart
No
Authorized Official
TIMOTHY KO
CFO
Phone: (937) 558-3223
Updated
Certification Date
Jan 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KETTERING HEALTH MEDICAL GROUP PRIMARY CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH3011118
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.