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KETTERING INDEPENDENT MEDICAL GROUP INC
NPI 1083911390
Durable Medical Equipment & Medical Supplies in Miamisburg, OH

Active since February 23, 2011
4000 MIAMISBURG CENTERVILLE RD, STE. 230, MIAMISBURG, OH 45342(937) 384-0790(937) 384-0794 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Sep 12, 2016 (2 updates tracked since 2016).

About Kettering Independent Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTERING INDEPENDENT MEDICAL GROUP INC (NPI 1083911390) is a healthcare organization registered as a durable medical equipment & medical supplies in Miamisburg, Ohio and active in the NPI registry since February 2011. The organization lists Timothy Y Ko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083911390
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKETTERING INDEPENDENT MEDICAL GROUP INC
Location Address4000 MIAMISBURG CENTERVILLE RD, STE. 230Miamisburg, OH 45342-7615
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 384-0790
Fax(937) 384-0794
Organization SubpartNo
Authorized OfficialTimothy Y KoCfo · (937) 558-3223
Enumeration DateFebruary 23, 2011
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1083911390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4000 MIAMISBURG CENTERVILLE RD, Miamisburg, OH 45342
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Other Identifiers 1

Other614010103OH · Feca

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENICE V WATTS PHARM.D.
Pharmacist
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4844
DR. JODI LYNNE VAN JURA M.D.
Family Medicine
4000 MIAMISBURG CENTERVILLE RD, SUITE 410
MIAMISBURG, OH 45342
Montgomery County (937) 384-8773
NIRMALA ROSE ABRAHAM MD
Pain Medicine (Pain Medicine)
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4511
KRISTINE A SCORDO NP
Nurse Practitioner (Acute Care)
4000 MIAMISBURG CENTERVILLE RD, SUITE 100
MIAMISBURG, OH 45342
Montgomery County (937) 643-9939
DR. FRANK J FASANO JR. M.D.
Orthopaedic Surgery
4000 MIAMISBURG CENTERVILLE RD, SUITE 110
MIAMISBURG, OH 45342
Montgomery County (937) 865-9000
ROSALIND J MASCALL M.D.
Obstetrics & Gynecology
4000 MIAMISBURG CENTERVILLE RD, STE. 200
MIAMISBURG, OH 45342
Montgomery County (937) 293-5200
LIFECARE HOSPITALS OF DAYTON INC
Long Term Care Hospital
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-8300
KYLA SIMONE BRANDENBURG PHARMD
Pharmacist
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 866-0551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettering Independent Medical Group Inc's NPI number?

The NPI number for Kettering Independent Medical Group Inc is 1083911390. It was assigned to this organization in the NPPES registry on February 23, 2011.

Where is Kettering Independent Medical Group Inc located?

Kettering Independent Medical Group Inc is located at 4000 Miamisburg Centerville Rd Ste. 230, Miamisburg, OH 45342. The listed phone number is (937) 384-0790.

What is Kettering Independent Medical Group Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Kettering Independent Medical Group Inc was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.