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KETTERING INDEPENDENT MEDICAL GROUP INC
NPI 1629387865
Orthopaedic Surgery in Miamisburg, OH

Active since October 06, 2010
1 PRESTIGE PL, SUITE 910, MIAMISBURG, OH 45342(937) 762-1629 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2023, Mar 13, 2023, Jan 25, 2023 and 2 more (5 updates tracked since 2017).

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 1629387865), doing business as Kettering Specialty Care, Inc., is a healthcare organization registered as an orthopaedic surgery in Miamisburg, Ohio and active in the NPI registry since October 2010. The organization lists Timothy Y Ko, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1629387865
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameKETTERING INDEPENDENT MEDICAL GROUP INC
Location Address1 PRESTIGE PL, SUITE 910Miamisburg, OH 45342-3794
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 762-1629
Organization SubpartNo
Authorized OfficialTimothy Y KoChief Financial Officer · (937) 395-8522
Enumeration DateOctober 6, 2010
Last NPPES UpdateMarch 27, 20235 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1629387865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
1 PRESTIGE PL, Miamisburg, OH 45342
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Other Names 1

Former Legal Business NameKettering Specialty Care, Inc.

Other Identifiers 1

Medicaid0207472OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

TERESA BUBNIS LLPC
Counselor (Professional)
1 PRESTIGE PL
MIAMISBURG, OH 45342
Montgomery County (708) 530-0625

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 1629387865. It was assigned to this organization in the NPPES registry on October 6, 2010. The provider was formerly known as Kettering Specialty Care, Inc..

Where is Kettering Independent Medical Group Inc located?

Kettering Independent Medical Group Inc is located at 1 Prestige Pl Suite 910, Miamisburg, OH 45342. The listed phone number is (937) 762-1629.

What is Kettering Independent Medical Group Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Kettering Independent Medical Group Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Kettering Independent Medical Group Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kettering Independent Medical Group Inc was last updated on March 27, 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.